Maaz Ahmed
Individual provider Active NPI Internal Medicine Physician · Elizabethtown, KY
NPI 1215459490 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1215459490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- TP536 (KY)
- Practice address
- 913 N Dixie Ave
Elizabethtown, KY 42701-2503 - Phone
- (270) 706-5612
- Fax
- (270) 706-5615
- NPI assigned
- Jul 10, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275
Hospital & facility affiliations
- Baptist Health Hardin
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241118002679 | KY | Practitioner - Internal Medicine | 1951835644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP536 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Health Medical Group Inc | Current |
Accepting new patients | |
| Baptist Healthcare System Inc | Past | Accepting new patients |
Locations
913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | TP536 | KY | Yes |
Addresses
Primary practice location
913 N Dixie Ave
Elizabethtown, KY 42701-2503
Mailing address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Other providers in Elizabethtown, KY
- Affordable Dentures & Implants - Kentucky, PLLC
- Affordable Hearing AIDS
- Agilitas USA, Inc
- Sufian Ahmad
- Ayaz Ahmed
- Syed Ahmed
- Syed Zulfiqar Ahmed
- Aigne Mental Wellness
- Mary Carol Akers
- Tammy Albin
All providers in Elizabethtown, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.