Active NPI
Masuda Ahmad, MD
- Family Medicine Physician
- Harlan, KY
National Provider Identifier
1275525552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38023
- Practice address
- 37 Ball Park Rd
Harlan, KY 40831-1701 - Phone
- (606) 573-4520
- Fax
- (606) 573-6392
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38023 | KY | Primary |
Addresses
Primary practice location
37 Ball Park Rd
Harlan, KY 40831-1701
Mailing address
37 Ball Park Rd
Harlan, KY 40831-1701
Phone (606) 573-4520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64087596 | Medicaid | KY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients |
Locations
18880 N US Highway 119
Cumberland, KY 40823
Phone (606) 589-0130
37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900
100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503
Interoperability endpoints
- masudaahmad@arh.medalliesdirect.net
Organizations & group practices 3
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Whitesburg, KY
- NPI 1417045998
-
- Community/Retail Pharmacy
- Cumberland, KY
- NPI 1710870811
-
- Anatomic Pathology & Clinical Pathology Physician
- Hazard, KY
- NPI 1780728881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275525552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 BALL PARK RD",
"city": "HARLAN",
"state": "KY",
"postal_code": "408311701",
"telephone_number": "606-573-4520",
"fax_number": "606-573-6392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 BALL PARK RD",
"city": "HARLAN",
"state": "KY",
"postal_code": "408311701",
"telephone_number": "606-573-4520",
"fax_number": "606-573-6392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "MASUDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "38023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64087596",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harlan, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.