Organization Active NPI

River Region Cardiology Associates, PC

  • Cardiovascular Disease Physician
  • Montgomery, AL
National Provider Identifier
1235162629
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
123456 Issued in AL
Legal business name
RIVER REGION CARDIOLOGY ASSOCIATES, PC
Practice address
185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone
(334) 387-0948
Fax
(334) 387-0955
NPI assigned
Jul 8, 2006
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Dr. Mohammad Luqman Ahmed, M.D.
Title
President
Phone
(334) 387-0948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 123456 AL Primary

Addresses

Primary practice location

185 Mitylene Park LN
Montgomery, AL 36117-7302

Mailing address

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-0948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060906000584 AL Part B Supplier - Clinic/Group Practice 3476568494 Receives reassigned benefits from 8 practitioners
Practice locations: Montgomery, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1054666River Region Cardiology Associates185 Mitylene Park Lane, Montgomery, AL 36117Certificate of waiverMay 25, 2028

National Provider Directory

National Provider Directory

Locations

114 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 244-1478

185 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 387-0948

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1235162629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER REGION CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "LUQMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-387-0948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.