Anis Ahmad, M.D., S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036049910 Issued in IL

Legal business name

ANIS AHMAD, M.D., S.C.

Practice address

3061 7TH St
Ste a
Moline, IL 61265-5903

Phone

(309) 762-6161

Fax

(309) 762-5387

NPI assigned

May 16, 2008

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anis Ahmad, M.D., F.R.C.P.NPI 1174511661

Title

M.D

Phone

(309) 762-6161

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anis Ahmad, M.D., F.R.C.P.

  • Internal Medicine Physician
  • Moline, IL
  • NPI 1174511661
  Medicare reassignment NPD Authorized official
• Emmanuel Nwumeh, MD

  • Family Medicine Physician
  • Moline, IL
  • NPI 1164643623
  NPD (past)

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1154588317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 7TH ST",
            "address_2": "STE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655903",
            "telephone_number": "309-762-6161",
            "fax_number": "309-762-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 7TH ST",
            "address_2": "STE A",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655903",
            "telephone_number": "309-762-6161",
            "fax_number": "309-762-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANIS AHMAD, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "ANIS",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "309-762-6161",
        "authorized_official_credential": "M.D., F.R.C.P."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036049910",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036049910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360499102",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "111918028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Adele Anderson, DC
• Blanca E Andon, MS-CCC-SLP
• Kenneth William Andre, M.D.
• Andrew Abatiell MD PLLC
• Jami Lynn Andrews, RPH
• Anjali Mathew MD PLLC
• Janet L Annen, RNP-BC
• Brian J Anseeuw, MD
• Anthony G Conrardy MD SC
• Evan Paul Antolik, DC

• Internal Medicine Physician in Moline, IL
• Providers in Moline, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.