Ahmed Mourtada Al Qady, MD, MBBCH
Individual provider Active NPI Internal Medicine Physician · Muncie, IN
NPI 1093393787 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1093393787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 01091664A (IN)
- Practice address
- 2525 W University Ave
Muncie, IN 47303-3421 - Phone
- (765) 747-4306
- NPI assigned
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202003614 | FL | Order and Referring Only - Gastroenterology |
1052711678 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- asalih709543@direct.shands.ufl.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 01091664A | IN | Yes |
Addresses
Primary practice location
2525 W University Ave
Muncie, IN 47303-3421
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 741-1515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M122404079 | Other | IN | MEDICARE PTAN |
| 1103716593 | Other | IN | ANTHEM PTAN |
| 300050119 | Medicaid | IN |
Other names
- Ahmed M Salih
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asalih@direct.iuhealth.org | Direct | |
| Direct Messaging Address | asalih@direct.iuhealth.org | Direct |
Other providers in Muncie, IN
- Samiyya I Ahmed
- Christina Marie Ahnafield
- Ajoptical, LLC
- Matthew Anthony Akins
- Fahima Akter
- Nariman Al Shweiki
- Amer Zuhair Al-Daoud
- Mohammed Mahmoud Al-Nusairat
- Yusuf N Alalwan
- Rafia Alam
All providers in Muncie, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.