Individual provider Active NPI

Hafiz I Ahmad, MD

  • Nephrology Physician
  • Danville, KY
National Provider Identifier
1124011143
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35128 Issued in KY
Practice address
1250 Ben Ali Dr
Danville, KY 40422-8937
Phone
(859) 236-6220
Fax
(859) 236-6675
NPI assigned
Aug 24, 2005
Last updated
Dec 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35128 KY
Nephrology Physician 207RN0300X 35128 KY Primary

Addresses

Primary practice location

1250 Ben Ali Dr
Danville, KY 40422-8937

Mailing address

100 Venture CT
Lexington, KY 40511-2600
Phone (859) 236-6220

Other identifiers 3

IdentifierTypeStateIssuer
7100013860MedicaidKY
64010739MedicaidKY
000000486188OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35128KYMDInternal Medicine Physician
99999KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Point of Care PLLC Past Accepting new patients
Casey County Hospital District Past Accepting new patients
Dialysis Clinic Inc Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1124011143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VENTURE CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112600",
            "telephone_number": "859-236-6220",
            "fax_number": "859-236-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BEN ALI DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228937",
            "telephone_number": "859-236-6220",
            "fax_number": "859-236-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "HAFIZ",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "35128",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "35128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100013860",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64010739",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000486188",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.