Organization Active NPI

Rubina Ahmed, M.D., P.C.

  • Legal Medicine
  • Taylor, MI
National Provider Identifier
1073826293
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
071462 Issued in MI
Legal business name
RUBINA AHMED, M.D., P.C.
Practice address
12701 Telegraph Rd
105
Taylor, MI 48180-6847
Phone
(734) 287-0700
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
M.D.P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Rubina Ahmed, M.D.NPI 1376512418
Title
President
Phone
(734) 718-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 071462 MI Primary

Addresses

Primary practice location

12701 Telegraph Rd
105
Taylor, MI 48180-6847

Mailing address

12701 Telegraph Rd
105
Taylor, MI 48180-6847
Phone (734) 287-0700

Other identifiers 1

IdentifierTypeStateIssuer
449055410MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000281 MI Part B Supplier - Clinic/Group Practice 2961684352 Receives reassigned benefits from 1 practitioner
Practice locations: Taylor, MI

National Provider Directory

National Provider Directory
Part of
Rubina Ahmed MD PC

Locations

12701 Telegraph Rd
Ste 105
Taylor, MI 48180
Phone (734) 287-0700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1073826293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 TELEGRAPH RD",
            "address_2": "105",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806847",
            "telephone_number": "734-287-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 TELEGRAPH RD",
            "address_2": "105",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806847",
            "telephone_number": "734-287-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBINA AHMED, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M.D.P.C.",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "RUBINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-718-7676",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "071462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449055410",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.