Muhammad Vikas Ahmad, M.D.
Individual provider Active NPI Family Medicine Physician · Peoria, AZ
NPI 1104921048 · NPPES record last updated Jun 28, 2019
Key facts
- NPI
- 1104921048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35768 (AZ)
- Practice address
- 20542 N Lake Pleasant Rd Ste 115
Peoria, AZ 85382-9749 - Phone
- (623) 476-5820
- Fax
- (623) 476-5815
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Khakwani and Mohammad Medical PC
Practice addresses (Care Compare)
20542 N Lake Pleasant Rd
Suite 115
Peoria, AZ 85382-9749
Phone (623) 476-5820
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20061109000130 | AZ | Practitioner - Family Practice |
5991702763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khakwani and Mohammad Medical PC | Family Medicine | Current |
Accepting new patients |
| Khakwani and Mohammad Medical PC | Family Medicine | Current |
Accepting new patients |
| Khakwani and Mohammad Medical PC | Family Medicine | Current | Accepting new patients |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Lankford Holdings Monogram, Inc | Past | Accepting new patients | |
| Desert Ridge Urgent Care LLC | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Family Medicine | Past | Accepting new patients |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Nextcare Arizona LLC | Past | Accepting new patients | |
| Sun City Urgent Care LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Nextcare Arizona I JV LLC | Past | Accepting new patients | |
| Khakwani and Mohammad Medical PC | Family Medicine | Past | Accepting new patients |
| Dana Landing Urgent Care LLC | Past | Accepting new patients |
Locations
4445 S Miller Rd
Ste 105B
Buckeye, AZ 85326
Phone (480) 319-9596
1500 S Watson Rd
Ste C104
Buckeye, AZ 85326
Phone (623) 251-7559
5270 W Baseline Rd
Ste 145
Laveen, AZ 85339
Phone (602) 675-2843
1310 E McKellips Rd
Ste 105B
Mesa, AZ 85203
Phone (480) 690-6959
20542 N Lake Pleasant Rd
Ste 115
Peoria, AZ 85382
Phone (623) 476-5820
3540 E Baseline Rd
Ste 130
Phoenix, AZ 85042
Phone (480) 899-0767
13869 W Bell Rd
Ste 103B
Surprise, AZ 85374
Phone (623) 600-4466
2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074
Interoperability endpoints
- mahmad158458@pdshealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35768 | AZ | Yes |
Addresses
Primary practice location
20542 N Lake Pleasant Rd Ste 115
Peoria, AZ 85382-9749
Mailing address
3815 E Bell Rd Ste 2200
Phoenix, AZ 85032-2139
Phone (602) 633-3838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282883 | Medicaid | AZ | |
| Z145907 | Other | AZ | MEDICARE |
Other providers in Peoria, AZ
- Agua Fria Senior Living, LLC
- Dean Aguilar
- Eileen Aguilar
- Ruben Aguilera
- Sharron Rae Ahles
- Aiz Behavioral Health LLC
- Ayomikun Ajulo
- Akdhc, LLC
- Akdhc, LLC-Phoenix Access Center 1
- Patience Ronke Akhimien
All providers in Peoria, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.