Individual provider Active NPI

Muhammad Ahsan, M.D.

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1063967057
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
67061 Issued in TN
Practice address
587 Skyline Dr
Jackson, TN 38301-3938
Phone
(731) 421-6510
Fax
(731) 421-6515
NPI assigned
Aug 18, 2016
Last updated
Jul 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Cardiovascular Disease Physician 207RC0000X 67061 TN Primary

Addresses

Primary practice location

587 Skyline Dr
Jackson, TN 38301-3938

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582
Phone (731) 512-1283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829000777 TN Practitioner - Cardiovascular Disease (Cardiology) 0840686150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

161 Mount Pelia Rd
Martin, TN 38237-3811
Phone (731) 587-4261

164 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 642-8884

1716 Parr Ave
Suite C
Dyersburg, TN 38024-2074
Phone (731) 421-6510

175 Hospital Dr
Camden, TN 38320-1617
Phone (731) 593-6300

180 Mount Pelia Rd
Martin, TN 38237-3812
Phone (731) 587-4261

235 Tyson Ave
Paris, TN 38242-4544
Phone (731) 644-3211

239 Tyson Ave
Paris, TN 38242-4544
Phone (731) 644-8208

301 Tyson Ave
Suite a B
Paris, TN 38242-4544
Phone (731) 421-6510

395 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 660-3344

4039 S Highland St
Milan, TN 38358-3483
Phone (731) 686-1591

405 Tyson Ave
Paris, TN 38242-4835
Phone (731) 421-1650

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

640 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 541-9490

650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone (731) 645-7932

700 W Forest Ave
Jackson, TN 38301-3937

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67061TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Aug 7, 2023 Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834

175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

587 Skyline Dr
Jackson, TN 38301
Phone (731) 421-6510

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261

164 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-5900

Interoperability endpoints

  • Direct secure messaging: mahsan27773@directepic.wth.org
  • Direct secure messaging: mahsan779539@direct.hfhs.org

Organizations & group practices 2

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 5

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1063967057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BANCORP SOUTH PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057582",
            "telephone_number": "731-512-1283",
            "fax_number": "731-660-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013938",
            "telephone_number": "731-421-6510",
            "fax_number": "731-421-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "MUHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "67061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.