NPIMap

Individual provider Active NPI

Ahmad Anjak, MD

  • Nephrology Physician
  • Cincinnati, OH
National Provider Identifier
1033158688
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35079166 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219
Phone
(513) 584-4956
NPI assigned
Jun 6, 2006
Last updated
Oct 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35079166 OH
Internal Medicine Physician 207R00000X 37001 KY
Nephrology Physician 207RN0300X 35079166 OH Primary
Hospitalist Physician 208M00000X 35-079166 OH

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219

Mailing address

PO Box 636256 Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 245-3104

Other practice location 1

6730 Roosevelt Ave Ste 303
Middletown, OH 45005-0017
Phone (513) 874-0486

Other identifiers 3

IdentifierTypeStateIssuer
64106982MedicaidKY
200497380MedicaidIN
2244468MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY, OH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20041112000190 IN Practitioner - NephrologyPractitioner - Internal Medicine 0840253977 Reassigns benefits to 2 organizations
I20050923000766 KY Practitioner - Internal Medicine 0840253977 Reassigns benefits to 2 organizations
I20110411000857 OH Practitioner - NephrologyPractitioner - Internal Medicine 0840253977 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Cincinnati College of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lawrenceburg Urgent CareGroup PAC ID 9133182264, 2 clinicians
Wellness Urgent Care LLCGroup PAC ID 8325410913, 3 clinicians

Practice addresses (Care Compare)

232 State Rd 129
Batesville, IN 47006-7694
Phone (812) 934-5666

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

587 W Eads Pkwy
Lawrenceburg, IN 47025-1157
Phone (812) 539-2911

805 Central Ave
Carlisle, OH 45005-3120

960 Highland Ave
Fort Thomas, KY 41075-1707
Phone (502) 525-6511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35079166OHMDNephrology Physician
35-079166OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shfaha Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Siraj Healthcare Incorporated CurrentSince Apr 1, 2019 Accepting new patients
Wellness Urgent Care LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients
Highlandspring Health Care and Rehabilitation LLC Past Accepting new patients
Jibrini MD Associates PLLC Internal Medicine Past Accepting new patients

Locations

300 Plaza Dr
Cold Spring, KY 41076
Phone (859) 341-2044

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

4220 Houston Rd
Erlanger, KY 41018
Phone (502) 525-3455

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

6975 Burlington Pike
Florence, KY 41042
Phone (502) 525-6511

960 Highland Ave
Fort Thomas, KY 41075
Phone (502) 525-6511

10250 US Highway 42
Union, KY 41091
Phone (502) 525-6511

805 Central Ave
Franklin, OH 45005
Phone (513) 999-9999

Interoperability endpoints

  • Direct secure messaging: aanjak12398@direct.uchealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1033158688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256 CENTRAL CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-245-3104",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-584-4956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6730 Roosevelt Ave Ste 303",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450050017",
            "country_code": "US",
            "telephone_number": "513-874-0486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANJAK",
        "first_name": "AHMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079166",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37001",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35079166",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-079166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64106982",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200497380",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2244468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.