Active NPI
Israr Ahmed, MD
- Internal Medicine Physician
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 00018796
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51501466AHM | Medicaid | AL | |
| 009963740 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040312000483 | AL | Practitioner - Internal 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 Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Correct Care, Inc.
Practice addresses (Care Compare)
14600 Saint Stephens Ave
Chatom, AL 36518-6711
Phone (251) 847-2223
Hospital & facility affiliations
- Red Bay Hospital
- Red Bay Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18796 | AL | MD | Ambulatory Care Pharmacist |
| 00018796 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Correct Care, Inc. | Current | Accepting new patients | |
| City of Jackson Healthcare Authority | Current | 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 | Past | 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.
-
- Family Medicine Physician
- Jackson, MS
- NPI 1356626618
-
- Home Health Agency
- Jackson, AL
- NPI 1770593204
-
- Emergency Medicine Physician
- Clanton, AL
- NPI 1669428090
-
- Critical Access Hospital
- Red Bay, AL
- NPI 1073601043
-
- Clinic/Center
- Belmont, MS
- NPI 1295105922
-
- Emergency Medicine Physician
- Moulton, AL
- NPI 1144502402
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.