Individual provider Active NPI

Ahmed Mohammednur Raja

  • Driver
  • Nashville, TN
National Provider Identifier
1235809948
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
095273084 Issued in TN
Practice address
325 Plus Park Blvd Ste 101-G
Nashville, TN 37217-1022
Phone
(615) 975-8266
NPI assigned
Sep 14, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 095273084 TN Primary

Addresses

Primary practice location

325 Plus Park Blvd Ste 101-G
Nashville, TN 37217-1022

Mailing address

804 Jamie Cir
Antioch, TN 37013-5218
Phone (615) 491-6995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
095273084TNMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Express Medical Trans, LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

325 Plus Park Blvd
Ste 101G
Nashville, TN 37217
Phone (615) 946-4095

Organizations & group practices 1

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1235809948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 JAMIE CIR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370135218",
            "telephone_number": "615-491-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD STE 101-G",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171022",
            "telephone_number": "615-975-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJA",
        "first_name": "AHMED",
        "middle_name": "MOHAMMEDNUR",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TN",
            "license": "095273084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.