Active NPI
Absolute Pain Management, LLC
- Anesthesiology Physician
- Fort Wayne, IN
National Provider Identifier
1235550674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01061654B
- Legal business name
- ABSOLUTE PAIN MANAGEMENT, LLC
- Practice address
- 2418 Lake Ave
Fort Wayne, IN 46805-5406 - Phone
- (260) 422-4757
- Fax
- (260) 422-8375
- NPI assigned
- Jan 3, 2014
- Last updated
- Nov 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muhammod A Ahmad, M.D.
- Title
- Owner/Physician
- Phone
- (260) 422-4757
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01061654B | IN | Primary |
Addresses
Primary practice location
2418 Lake Ave
Fort Wayne, IN 46805-5406
Mailing address
2418 Lake Ave
Fort Wayne, IN 46805-5406
Phone (260) 422-4757
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12626905 | Other | CAQH | |
| 000000850468 | Other | IN | BLUE CROSS BLUE SHIELD |
| 201206330A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1942 E DuPont Rd
Ste A
Fort Wayne, IN 46825
Phone (260) 408-6171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731974400000",
"number": "1235550674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055406",
"telephone_number": "260-422-4757",
"fax_number": "260-422-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 LAKE AVE",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468055406",
"telephone_number": "260-422-4757",
"fax_number": "260-422-8375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTE PAIN MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-03",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "MUHAMMOD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "260-422-4757",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01061654B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12626905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000850468",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201206330A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.