Individual provider Active NPI

Rizwan Ahmad, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1144649187
Registry record updated Apr 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A142200 Issued in CA
Practice address
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone
(631) 949-1008
NPI assigned
Apr 7, 2014
Last updated
Apr 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A142200 CA
Psychiatry Physician 2084P0800X A142200 CA Primary

Addresses

Primary practice location

4441 E Kings Canyon Rd
Fresno, CA 93702-3604

Mailing address

640 Springlake Way
Coppell, TX 75019-6824
Phone (631) 949-1008

Other practice location 1

640 Springlake Way
Coppell, TX 75019-6824
Phone (631) 949-1008

Other names 1

  • Syed R Ahmad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20190218002933 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 3274871181 Reassigns benefits to 2 organizations
I20190701000860 TX Practitioner - Psychiatry 3274871181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Evolve Psychiatry MD, Inc.Group PAC ID 7810384005, 6 clinicians

Practice addresses (Care Compare)

5300 Town and Country Blvd
Suite 240
Frisco, TX 75034-6894
Phone (469) 833-3360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142200CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Psychiatry CurrentSince Dec 2, 2019 Accepting new patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Dec 4, 2021 Accepting new patients
Health and Human Services Commission Psychiatry Current Accepting new patients
Heart of Texas Region MHMR Center CurrentSince Apr 1, 2020 Accepting new patients
Evolve Psychiatry MD, Inc. Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Thomas Health Services Inc Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
County of San Diego CurrentSince Dec 4, 2021 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 20, 2019 Accepting new patients
Health and Human Services Commission CurrentSince Dec 2, 2019 Accepting new patients
Stephens Medical Corporation Psychiatry PastSince Mar 19, 2023 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200

11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757

1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936

1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

402 W Broadway
Fl 4
San Diego, CA 92101

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

5300 Town and Country Blvd
Ste 240
Frisco, TX 75034
Phone (469) 833-3360

1200 E Brin St
Terrell, TX 75160
Phone (972) 524-6452

110 S 12th St
Waco, TX 76701
Phone (254) 297-7124

Interoperability endpoints

  • Direct secure messaging: riz.ahmad@epmi-tx.direct.office.nextgen.com

Organizations & group practices 11

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1144649187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SPRINGLAKE WAY",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196824",
            "telephone_number": "631-949-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "631-949-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Springlake Way",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750196824",
            "country_code": "US",
            "telephone_number": "631-949-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "RIZWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A142200",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A142200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYED",
            "last_name": "AHMAD",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.