Muhammad Amjad, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

24797 Issued in AL

Practice address

1508 S Broad St Ste 300
Scottsboro, AL 35768-2668

Phone

(256) 259-3600

Fax

(256) 259-3601

NPI assigned

Oct 11, 2006

Last updated

Jun 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: muhammad.amjad@scottpeds.direct.medconnect-inc.com

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.

• Scottsboro Pediatrics PC

  • Primary Care Clinic/Center
  • Scottsboro, AL
  • NPI 1376966416
  Medicare reassignment NPD Authorized official
• Scottsboro Quick Care Clinics,Inc

  • Internal Medicine Physician
  • Scottsboro, AL
  • NPI 1427241546
  Medicare reassignment NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1073601340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST STE 300",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682668",
            "telephone_number": "256-259-3600",
            "fax_number": "256-259-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST STE 300",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682668",
            "telephone_number": "256-259-3600",
            "fax_number": "256-259-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD",
        "first_name": "MUHAMMAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "24797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073601340",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1376966416",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155726",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "1021377281",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156513",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51597531",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009907805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mandi Michelle Allen-Bell, MD
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• American Drug Testing Lab LLC
• Candace T Amos, FNP
• Ams Alabama PLLC
• Danielle Anderson, CRNP
• Kerrie H Armstrong, M.S., CCC-A
• Associated Pharmacies Inc

• Pediatrics Physician in Scottsboro, AL
• Providers in Scottsboro, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.