NPIMap

Individual provider Active NPI

Irfan Ahmad, M.D.

  • Internal Medicine Physician
  • Woonsocket, RI
National Provider Identifier
1063460426
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD11507 Issued in RI
Practice address
68 Cumberland St Ste 205
Woonsocket, RI 02895-3331
Phone
(401) 765-4100
Fax
(401) 765-2300
NPI assigned
May 5, 2006
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD11507 RI Primary

Addresses

Primary practice location

68 Cumberland St Ste 205
Woonsocket, RI 02895-3331

Mailing address

68 Cumberland St Ste 205
Woonsocket, RI 02895-3331
Phone (401) 765-4100

Other practice location 1

333 School St Ste 302
Pawtucket, RI 02860-5337
Phone (401) 725-3520

Other identifiers 1

IdentifierTypeStateIssuer
9094990MedicaidRI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iahmad@direct.carene.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000999 RI Practitioner - Internal Medicine 2466413919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rhode Island Medicine IncGroup PAC ID 7012086077, 3 clinicians

Practice addresses (Care Compare)

20 Cumberland Hill Rd
Woonsocket, RI 02895-4854
Phone (401) 286-3324

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services Landmark LLC Internal Medicine CurrentSince Sep 11, 2023 Accepting new patients
Rhode Island Medicine Inc. Internal Medicine CurrentSince Apr 28, 2008 Accepting new patients
Prime Healthcare Services Landmark LLC CurrentSince Sep 11, 2023 Accepting new patients
Cai Internal Medicine Internal Medicine Past Accepting new patients
Cardiology Associates, Inc. Past Accepting new patients

Locations

333 School St
Ste 302
Pawtucket, RI 02860
Phone (401) 725-3520

20 Cumberland Hill Rd
Unit 102
Woonsocket, RI 02895

20 Cumberland Hill Rd
Unit 104
Woonsocket, RI 02895
Phone (401) 286-3324

20 Cumberland Hill Rd
Unit 206
Woonsocket, RI 02895
Phone (401) 766-1785

206 Cass Ave
Woonsocket, RI 02895
Phone (401) 597-5070

68 Cumberland St
Ste 205
Woonsocket, RI 02895
Phone (401) 762-4473

Organizations & group practices 5

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 12

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1063460426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST STE 205",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953331",
            "telephone_number": "401-765-4100",
            "fax_number": "401-765-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CUMBERLAND ST STE 205",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953331",
            "telephone_number": "401-765-4100",
            "fax_number": "401-765-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 School St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605337",
            "country_code": "US",
            "telephone_number": "401-725-3520",
            "fax_number": "401-725-3548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "IRFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "MD11507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9094990",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iahmad@direct.carene.org",
            "affiliation": "N",
            "address_1": "68 Cumberland St Ste 205",
            "city": "Woonsocket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028953331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

Verify at the official NPI Registry.