Individual provider Active NPI

Raheel Ahmed, MD/MPH

  • Anatomic Pathology & Clinical Pathology Physician
  • Phoenix, AZ
National Provider Identifier
1134626518
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
70570 Issued in AZ
Practice address
424 S 56TH St Ste 110
Phoenix, AZ 85034-2177
Phone
(602) 685-5211
Fax
(480) 478-8091
NPI assigned
Apr 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 43339 AL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 70570 AZ Primary

Addresses

Primary practice location

424 S 56TH St Ste 110
Phoenix, AZ 85034-2177

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (602) 685-5211

Other practice location 1

619 19th St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220810003225 AL Practitioner - Pathology 1355697400 Reassigns benefits to 1 organization
I20230728000594 AZ Practitioner - Pathology 1355697400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clin-Path Pathology Anatomic Pathology & Clinical Pathology CurrentSince Aug 7, 2023 Accepting new patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology CurrentSince Aug 7, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jul 5, 2022 Accepting new patients
Sonoran Radiology LTD PastSince Aug 7, 2023 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

424 S 56th St
Ste 110
Phoenix, AZ 85034
Phone (480) 478-8057

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

424 S 56th St
Ste 120
Phoenix, AZ 85034
Phone (480) 478-8059

2109 S 48th St
Ste 102
Tempe, AZ 85282
Phone (602) 424-2889

Interoperability endpoints

  • Direct secure messaging: raheelahmed@direct.uabmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1134626518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "602-685-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S 56TH ST STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342177",
            "telephone_number": "602-685-5211",
            "fax_number": "480-478-8091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352491900",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RAHEEL",
        "credential": "MD/MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-11",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "43339",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "70570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.