Individual provider Active NPI

Israr Ahmed, MD

  • Internal Medicine Physician
  • Mandeville, LA
National Provider Identifier
1255435889
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00018796 Issued in AL
Practice address
639 Lotus Dr N
Suite B
Mandeville, LA 70471-2926
Phone
(985) 626-6133
Fax
(985) 626-6136
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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 00018796 AL Primary

Addresses

Primary practice location

639 Lotus Dr N
Suite B
Mandeville, LA 70471-2926

Mailing address

3215 Cliff Rd S
Birmingham, AL 35205-1405
Phone (205) 332-7550

Other identifiers 2

IdentifierTypeStateIssuer
51501466AHMMedicaidAL
009963740MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040312000483 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 8123917689 Reassigns benefits to 2 organizations
I20110103001029 MS Practitioner - Emergency Medicine 8123917689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians

Practice addresses (Care Compare)

14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223

Hospital & facility affiliations

  • Red Bay Hospital Hospital, Red Bay, AL, CCN 011302
  • Red Bay Hospital Nursing home, CCN 01Z302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18796ALMDAmbulatory Care Pharmacist
00018796ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. CurrentSince Apr 1, 2004 Accepting new patients
City of Jackson Healthcare Authority CurrentSince Nov 1, 2012 Accepting new patients
Clanton Emergency Physicians, LLC Past Accepting new patients
HH Health System - Shoals LLC Past Accepting new patients
Gilliard Health Services Internal Medicine Past Accepting new patients
City of Jackson Healthcare Authority PastSince May 11, 2025 Accepting new patients
Warrior Mountain Emergency Physicians LLC Past Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Tishomingo Health Services, Inc. Past Accepting new patients

Locations

1910 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 255-0820

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

220 Hospital Dr
Jackson, AL 36545
Phone (251) 246-1159

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

17438 Hard Hat Dr
Covington, LA 70435
Phone (985) 249-5600

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

140 Burke Calhoun City Rd
Slate Spring, MS 38916
Phone (662) 628-6611

409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1255435889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CLIFF RD S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051405",
            "telephone_number": "205-332-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 LOTUS DR N",
            "address_2": "SUITE B",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712926",
            "telephone_number": "985-626-6133",
            "fax_number": "985-626-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ISRAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00018796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51501466AHM",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009963740",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.