Hisham I Ahmed MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301076402 Issued in MI

Legal business name

HISHAM I AHMED MD PLLC

Practice address

1457 Suncrest Dr
Lapeer, MI 48446-1151

Phone

(810) 348-7178

NPI assigned

Oct 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Hisham I Ahmed, MDNPI 1568486413

Title

Owner

Phone

(810) 348-7178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hisham Ibrahim Ahmed, M.D.

  • Internal Medicine Physician
  • Lapeer, MI
  • NPI 1568486413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1033445143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 WOODSTONE DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397096",
            "telephone_number": "810-348-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461151",
            "telephone_number": "810-348-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISHAM I AHMED MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-348-7178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301076402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chander Hill
• Karen A. Hill, LBSW
• Zachary J Hillman, D.O.
• Christina I Himmelspach, LPC
• Holly Nicole Hinsberger, FNP-C
• Emma Hofert
• Luann S Holcomb
• June M Holen
• Lucas Hollenbeck
• De'Shaee Holmes

• Internal Medicine Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.