Individual provider Active NPI

Aliya Ahmed, M.D.

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1215026620
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38830 Issued in TN
Practice address
3294 Poplar Ave Ste 100
Memphis, TN 38111-4649
Phone
(901) 362-8671
Fax
(901) 458-4896
NPI assigned
Oct 12, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38830 TN Primary

Addresses

Primary practice location

3294 Poplar Ave Ste 100
Memphis, TN 38111-4649

Mailing address

10773 Whisper TRL
Collierville, TN 38017-8548
Phone (901) 827-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040719000417 TN Practitioner - Internal MedicinePractitioner - Family Practice 7012996440 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Aug 3, 2014 Accepting new patients
State of Tennessee State F & a Payroll CurrentSince Aug 3, 2014 Accepting new patients
State of Tennessee Current Accepting new patients
Hardeman County Community Health Center Current Accepting new patients
Medical Group of Memphis LLC Past Accepting new patients

Locations

629 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 658-3388

951 Court Ave
Memphis, TN 38103
Phone (901) 577-1800

500 Deaderick St
Bldg 6TH
Nashville, TN 37242

Interoperability endpoints

  • Direct secure messaging: aliya.ahmed.p1@direct.caremoreagp.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1215026620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10773 WHISPER TRL",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178548",
            "telephone_number": "901-827-7821",
            "fax_number": "901-850-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 POPLAR AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114649",
            "telephone_number": "901-362-8671",
            "fax_number": "901-458-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ALIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.