Active NPI
Mohammad Afzal MD Internal Medicine LLC
- Internal Medicine Physician
- Somerset, KY
National Provider Identifier
1083805931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MOHAMMAD AFZAL MD INTERNAL MEDICINE LLC
- Practice address
- 110 Hardin LN Ste 2B
Somerset, KY 42503-3818 - Phone
- (606) 451-0312
- NPI assigned
- Aug 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Smith
- Title
- Office Manager
- Phone
- (606) 451-0312
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
110 Hardin LN Ste 2B
Somerset, KY 42503-3818
Mailing address
110 Hardin LN Ste 2B
Somerset, KY 42503-3818
Phone (606) 451-0312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1068868 | Mohammad Afzal, MD Internal Medicine, LLC | Certificate of waiver | May 21, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/HFDDAA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Somerset, KY
- NPI 1245329069
-
- Physician Assistant
- Lexington, KY
- NPI 1205269487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494892800000",
"number": "1083805931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HARDIN LN STE 2B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033818",
"telephone_number": "606-451-0312",
"fax_number": "606-451-0314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 HARDIN LN STE 2B",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425033818",
"telephone_number": "606-451-0312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMAD AFZAL MD INTERNAL MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2017-05-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "606-451-0312"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.