NPIMap

Individual provider Active NPI

Asaad Elsayed Ahmed, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1063618312
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200800232 Issued in NC
Practice address
6324 Fairview Rd Ste 310
Charlotte, NC 28210-4172
Phone
(704) 316-6565
NPI assigned
Jun 25, 2007
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200800232 NC Primary
Hospitalist Physician 208M00000X 2008-00232 NC

Addresses

Primary practice location

6324 Fairview Rd Ste 310
Charlotte, NC 28210-4172

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-5416

Other practice location 1

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-5416

Other practice location 2

3330 Siskey Pkwy Ste 200
Matthews, NC 28105
Phone (704) 316-2127

Other practice location 3

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-5416

Other identifiers 1

IdentifierTypeStateIssuer
5910581MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aahmed15257@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080929000645 NC Practitioner - HospitalistPractitioner - Internal Medicine 9234226622 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1450 Matthews Township Pkwy
Suite 400
Matthews, NC 28105-5336
Phone (704) 316-5410

6324 Fairview Rd
Suite 310
Charlotte, NC 28210-4172
Phone (980) 302-8680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200800232NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2008 Accepting new patients
The Presbyterian Hospital Internal Medicine Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC CurrentSince Mar 1, 2020 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Mar 1, 2020 Accepting new patients
The Presbyterian Hospital CurrentSince Sep 11, 2018 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 1, 2008 Accepting new patients
Novant Medical Group, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Internal Medicine CurrentSince Mar 12, 2020 Accepting new patients
The Presbyterian Hospital Internal Medicine CurrentSince Sep 11, 2018 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC PastSince Dec 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6324 Fairview Rd
Ste 310
Charlotte, NC 28210
Phone (704) 316-6565

6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

4205 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-6900

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1450 Matthews Township Pkwy
Ste 400
Matthews, NC 28105
Phone (704) 316-5140

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

3330 Siskey Pkwy
Matthews, NC 28105
Phone (704) 316-2127

3330 Siskey Pkwy
#200
Matthews, NC 28105
Phone (704) 316-2127

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1063618312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-5416",
            "fax_number": "704-384-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6324 FAIRVIEW RD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104172",
            "telephone_number": "704-316-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Matthews Township Pkwy",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281054656",
            "country_code": "US",
            "telephone_number": "704-384-5416",
            "fax_number": "704-384-5992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Siskey Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-316-2127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-5416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ASAAD",
        "middle_name": "ELSAYED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200800232",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2008-00232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910581",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aahmed15257@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1500 Matthews Township Pkwy",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.