Ahmed Kemmou, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36282 Issued in AZ

Practice address

1841 W 25TH St Ste C
Yuma, AZ 85364-6920

Phone

(928) 344-5055

Fax

(928) 344-5655

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Keystone Anesthesia Mobile, PLC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1700147832
  NPD (past)
• Yuma Community Physicians, PLLC

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1114274446

  Surgery

  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1184622342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853666932",
            "telephone_number": "928-344-5055",
            "fax_number": "928-344-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 W 25TH ST STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646920",
            "telephone_number": "928-344-5055",
            "fax_number": "928-344-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMOU",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "36282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000258000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180902",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kehle, PHARMD
• Joan Lucille Kelchner, M.D.
• Kelda Counseling LLC
• Gloria Keller, PA-C
• Kruthi Kelur, M.D
• Jennifer Kempton, LMSW
• John David Kempton, DDS, MS
• Hannah Kendrick, ATC
• Eugenia L Kereluk, NP
• Tanishq Kesani, M.D.

• Surgery Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.