NPIMap

Individual provider Active NPI

Irshad Ahmed, MD

  • Internal Medicine Physician
  • Colonial Heights, VA
National Provider Identifier
1083683528
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058744 Issued in VA
Practice address
2801 Boulevard
Suite B
Colonial Heights, VA 23834-2323
Phone
(804) 524-0524
Fax
(804) 524-0520
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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 0101058744 VA Primary

Addresses

Primary practice location

2801 Boulevard
Suite B
Colonial Heights, VA 23834-2323

Mailing address

2801 Boulevard
Suite B
Colonial Heights, VA 23834-2323
Phone (804) 524-0524

Other identifiers 2

IdentifierTypeStateIssuer
005867151MedicaidVA
1083683528OtherVAINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040211000877 VA Practitioner - Internal Medicine 9335033232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 Boulevard
B
Colonial Heights, VA 23834-2323
Phone (804) 524-0524

Hospital & facility affiliations

  • Southside Regional Home Health Home health agency, Petersburg, VA, CCN 497072
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Bon Secours St Francis Medical Center Hospital, Midlothian, VA, CCN 490136
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Irshad Ahmed MD PC Internal Medicine CurrentSince Jun 1, 2007 Accepting new patients
Petersburg Home Care Services LLC Past Accepting new patients

Locations

2801 Boulevard
Ste B
Colonial Hgts, VA 23834
Phone (804) 520-1099

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1083683528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BOULEVARD",
            "address_2": "SUITE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342323",
            "telephone_number": "804-524-0524",
            "fax_number": "804-524-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BOULEVARD",
            "address_2": "SUITE B",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342323",
            "telephone_number": "804-524-0524",
            "fax_number": "804-524-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "IRSHAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005867151",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1083683528",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.