Individual provider Active NPI

Iftiker Ahmad, MD

  • Gastroenterology Physician
  • East Lansing, MI
National Provider Identifier
1184673402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
IA048745 Issued in MI
Practice address
1650 Ramblewood Dr
East Lansing, MI 48823-7396
Phone
(517) 332-1200
Fax
(517) 351-7122
NPI assigned
May 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X IA048745 MI Primary

Addresses

Primary practice location

1650 Ramblewood Dr
East Lansing, MI 48823-7396

Mailing address

1650 Ramblewood Dr
East Lansing, MI 48823-7396
Phone (517) 332-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101118000559 MI Practitioner - Gastroenterology 0749271245 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, 42 clinicians
Sparrow Carson HospitalGroup PAC ID 7113836701, 63 clinicians

Practice addresses (Care Compare)

2909 E Grand River Ave
Suite 102
Lansing, MI 48912-4335
Phone (517) 253-6320

3565 S State Rd
SMG Gastroenterology Ionia
Ionia, MI 48846-9416
Phone (517) 253-6320

406 E Elm St
Sparrow Medical Group Gastroenterology Cars
Carson City, MI 48811-9693
Phone (517) 253-6320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Upper gastrointestinal (GI) endoscopy for acid reflux69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IA048745MIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Aug 7, 2023 Accepting new patients
Sparrow Carson Hospital CurrentSince Sep 8, 2023 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 9, 2023 Accepting new patients
Troy Gastroenterology PC Gastroenterology CurrentSince Jul 1, 2021 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Aug 9, 2023 Accepting new patients
McLaren Northern Michigan CurrentSince Oct 1, 2023 Accepting new patients
Sparrow Carson Hospital CurrentSince Sep 8, 2023 Accepting new patients
McLaren Bay Region CurrentSince Aug 21, 2023 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
McLaren Central Michigan CurrentSince Oct 1, 2023 Accepting new patients
Troy Gastroenterology, PC Current Accepting new patients
McLaren Northern Michigan CurrentSince Oct 1, 2023 Accepting new patients
Sparrow Ionia Hospital CurrentSince Aug 7, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Oct 1, 2023 Accepting new patients
McLaren Bay Region CurrentSince Aug 21, 2023 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1650 Ramblewood Dr
East Lansing, MI 48823
Phone 5173321200 ext. 248

1650 Ramblewood Dr
Ste 100
East Lansing, MI 48823

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Fl 1
Ionia, MI 48846

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

2909 E Grand River Ave
Ste 102
Lansing, MI 48912
Phone (517) 364-8670

2909 E Grand River Ave
Ste 201
Lansing, MI 48912
Phone (517) 253-3050

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste M40
Petoskey, MI 49770
Phone (231) 487-2391

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

Interoperability endpoints

  • Direct secure messaging: iahmad622520@direct.hfhs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184673402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 RAMBLEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237396",
            "telephone_number": "517-332-1200",
            "fax_number": "517-351-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "IFTIKER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "IA048745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.