NPIMap

Organization Active NPI

Azra a Ahmed MD/PA

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1295916724
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0039127 Issued in MD
Legal business name
AZRA A AHMED MD/PA
Practice address
821 N Eutaw St
S-103
Baltimore, MD 21201-4648
Phone
(410) 225-8760
Fax
(410) 225-8455
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Azra A Ahmed, MD/PANPI 1326014788
Title
Physician
Phone
(410) 225-8760

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0039127 MD Primary

Addresses

Primary practice location

821 N Eutaw St
S-103
Baltimore, MD 21201-4648

Mailing address

821 N Eutaw St
S-103
Baltimore, MD 21201-4648
Phone (410) 225-8760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000253 MD Part B Supplier - Clinic/Group Practice 6507934395 Receives reassigned benefits from 6 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

821 N Eutaw St
#S103
Baltimore, MD 21201
Phone (410) 225-8760

821 N Eutaw St
Ste 103
Baltimore, MD 21201
Phone (410) 225-8760

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1295916724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "address_2": "S-103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "410-225-8760",
            "fax_number": "877-795-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST",
            "address_2": "S-103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014648",
            "telephone_number": "410-225-8760",
            "fax_number": "410-225-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZRA A AHMED MD/PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AZRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-225-8760",
        "authorized_official_credential": "MD/PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0039127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.