NPIMap

Individual provider Active NPI

Muhammad Altaf Ahmed, MD

  • Pulmonary Disease Physician
  • Russellville, KY
National Provider Identifier
1275525933
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
31168 Issued in KY
Practice address
1623 Nashville St
Ste 204 and 205
Russellville, KY 42276
Phone
(270) 726-1785
Fax
(270) 726-2278
NPI assigned
Aug 18, 2005
Last updated
Aug 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 31168 KY
Internal Medicine Physician 207R00000X 31168 KY
Pulmonary Disease Physician 207RP1001X 31168 KY Primary

Addresses

Primary practice location

1623 Nashville St
Ste 204 and 205
Russellville, KY 42276

Mailing address

825 Second Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 782-0151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000662 KY Practitioner - Pulmonary Disease 9436109816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

421 US 31W Byp
Bowling Green, KY 42101-1775
Phone (270) 782-0151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31168KYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Commonwealth Health Corporation, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Commonwealth Health Corporation, Inc Current Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Past Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Past Accepting new patients
Commonwealth Health Corporation, Inc. Critical Care Medicine Past Accepting new patients
Commonwealth Health Corporation Past Accepting new patients

Locations

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

350 Park St
Ste 106
Bowling Green, KY 42101
Phone (270) 721-7265

350 Park St
Ste 203
Bowling Green, KY 42101
Phone (270) 781-0075

421 US 31W Byp
Bowling Green, KY 42101
Phone (270) 782-7768

427 US 31W Byp
Bowling Green, KY 42101
Phone (270) 796-8000

825 2nd Ave
Ste B1
Bowling Green, KY 42101
Phone (270) 843-8600

1623 Nashville St
Ste 204
Russellville, KY 42276
Phone (270) 726-1785

1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011

Interoperability endpoints

  • Direct secure messaging: ljo9413@yourcarecommunity.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1275525933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SECOND AVE",
            "address_2": "STE B1",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "42101",
            "telephone_number": "270-782-0151",
            "fax_number": "270-782-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 NASHVILLE ST",
            "address_2": "STE 204 AND 205",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "42276",
            "telephone_number": "270-726-1785",
            "fax_number": "270-726-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MUHAMMAD",
        "middle_name": "ALTAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "31168",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31168",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "31168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

Verify at the official NPI Registry.