Omar Ahmad, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD29190 Issued in TN

Practice address

4772 Navy Rd Ste a
Millington, TN 38053-1927

Phone

(901) 873-0930

Fax

(901) 873-0931

NPI assigned

Apr 13, 2006

Last updated

May 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1093779456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-0930",
            "fax_number": "901-873-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 NAVY RD STE A",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531927",
            "telephone_number": "901-873-0930",
            "fax_number": "901-873-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "MD29190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3850166",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agilitas USA, Inc
• Hamad Ahmad, MD
• Cale Porter Alexander, DPT
• Janice Skinner Algea, MD
• William David Algea, MD
• William Leroy Algea III, MD
• Whitney Allgood

• Hematology & Oncology Physician in Millington, TN
• Providers in Millington, TN by specialty
• Hematology & Oncology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.