Individual provider Active NPI

Ahmed Arham Niaz, MD

  • Student in an Organized Health Care Education/Training Program
  • Independence, MO
National Provider Identifier
1174461339
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
19550 E 39TH St S Ste 310
Independence, MO 64057-2306
Phone
(203) 543-9456
NPI assigned
Mar 23, 2026
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

19550 E 39TH St S Ste 310
Independence, MO 64057-2306

Mailing address

19550 E 39TH St S Ste 310
Independence, MO 64057-2306
Phone (203) 543-9456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260612000255 MO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3072085869

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1174461339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 310",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572306",
            "telephone_number": "203-543-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S STE 310",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572306",
            "telephone_number": "203-543-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAZ",
        "first_name": "AHMED",
        "middle_name": "ARHAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.