Individual provider Active NPI

Syed Rafeeq Ahmed, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Florence, AL
National Provider Identifier
1154399715
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
15555 Issued in AL
Practice address
3903 Peach St
Florence, AL 35630-2803
Phone
(256) 766-3003
Fax
(256) 766-0898
NPI assigned
Mar 9, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 15555 AL Primary

Addresses

Primary practice location

3903 Peach St
Florence, AL 35630-2803

Mailing address

3903 Peach St
Florence, AL 35630-2803
Phone (256) 766-3003

Other identifiers 1

IdentifierTypeStateIssuer
529913100MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090217000292 AL Practitioner - EndocrinologyPractitioner - Internal Medicine 7416012984 Practice locations: Florence, AL

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3903 Peach St
Florence, AL 35630-2803
Phone (256) 766-3003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.36 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15555ALMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: endocrinologyanddiabetes@eadc-al.direct.office.nextgen.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1154399715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 PEACH ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302803",
            "telephone_number": "256-766-3003",
            "fax_number": "256-766-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 PEACH ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302803",
            "telephone_number": "256-766-3003",
            "fax_number": "256-766-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED",
        "middle_name": "RAFEEQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AL",
            "license": "15555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913100",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.