Individual provider Active NPI

Ayaz Ahmed, M.D.

  • Internal Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1235247990
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32313 Issued in KY
Practice address
1321 Ring Rd
Ste 107
Elizabethtown, KY 42701-8940
Phone
(270) 986-7392
Fax
(270) 900-1131
NPI assigned
Aug 25, 2006
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32313 KY Primary

Addresses

Primary practice location

1321 Ring Rd
Ste 107
Elizabethtown, KY 42701-8940

Mailing address

1321 Ring Rd
Ste 105
Elizabethtown, KY 42701-8940
Phone (270) 986-7373

Other identifiers 14

IdentifierTypeStateIssuer
110152113OtherKYUNITED HEALTHCARE PROV #
000000041592OtherKYANTHEM ET PROV #
1354161OtherKYMAILHANDLERS ET PROV #
940008659OtherKYPHCS PROV #
000000042799OtherKYANTHEM HV PROV #
1055560OtherKYPASSPORT HV PROV #
1055561OtherKYPASSPORT RC PROV #
110185034OtherKYUNITED HEALTHCARE PROV #
5496002OtherKYCIGNA PROV #
64323132MedicaidKY
1055558OtherKYPASSPORT ET PROV #
000000041591OtherKYANTHEM RC PROV #
1342353OtherKYMAILHANDLERS RC PROV #
5732240OtherKYAETNA PROV #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070716000005 KY Practitioner - Internal Medicine 3476653783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Medical Associates PLLCGroup PAC ID 7012226301, 12 clinicians

Practice addresses (Care Compare)

1321 Ring Rd
Suite 107
Elizabethtown, KY 42701-8940
Phone (270) 986-7392

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32313KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Medical Associates PLLC Internal Medicine CurrentSince Sep 1, 2016 Accepting new patients
Baptist Healthcare System Inc Past Accepting new patients
Physical Therapy Associates Inc Past Accepting new patients
A.M. Faheem, M.D., P.S.C. Past Accepting new patients

Locations

1321 Ring Rd
Ste 105
Elizabethtown, KY 42701
Phone (270) 986-7372

1321 Ring Rd
Ste 107
Elizabethtown, KY 42701
Phone (270) 986-7392

914 N Dixie Ave
Ste 302
Elizabethtown, KY 42701
Phone (270) 706-1943

700 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone (270) 351-3192

800 W Lincoln Trail Blvd
Ste 102
Radcliff, KY 40160
Phone (270) 351-3515

Organizations & group practices 4

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.

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1235247990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 RING RD",
            "address_2": "STE 105",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018940",
            "telephone_number": "270-986-7373",
            "fax_number": "270-900-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 RING RD",
            "address_2": "STE 107",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018940",
            "telephone_number": "270-986-7392",
            "fax_number": "270-900-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "AYAZ",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "110152113",
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        },
        {
            "code": "01",
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            "issuer": "ANTHEM ET PROV #",
            "identifier": "000000041592",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS ET PROV #",
            "identifier": "1354161",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROV #",
            "identifier": "940008659",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HV PROV #",
            "identifier": "000000042799",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HV PROV #",
            "identifier": "1055560",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT RC PROV #",
            "identifier": "1055561",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "110185034",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROV #",
            "identifier": "5496002",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64323132",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ET PROV #",
            "identifier": "1055558",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RC PROV #",
            "identifier": "000000041591",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS RC PROV #",
            "identifier": "1342353",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #",
            "identifier": "5732240",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

Verify at the official NPI Registry.