Active NPI
Shafi J Ahmed, M.D.
- Internal Medicine Physician
- Flint, MI
National Provider Identifier
1326121823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301056194
- Practice address
- G4007 W Court St
Suite B
Flint, MI 48532-3560 - Phone
- (810) 732-7716
- Fax
- (810) 732-7863
- NPI assigned
- Oct 20, 2006
- Last updated
- Feb 18, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301056194 | MI | Primary |
Addresses
Primary practice location
G4007 W Court St
Suite B
Flint, MI 48532-3560
Mailing address
G4007 W Court St
Suite B
Flint, MI 48532-3560
Phone (810) 732-7716
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3331400 | Medicaid | MI | |
| 080B512470 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|
| Blueberry Healthcare PC | Current | Accepting new patients | |
| Emergency Medical Centre of Flint, Inc. | Past | Accepting new patients | |
| CT Center of Flint, PLLC | Past | Accepting new patients | |
| Emergency Medical Centre of Flint | Past | Accepting new patients |
Locations
G4007 W Court St
Ste B
Flint, MI 48532
Phone (810) 399-9931
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Flint, MI
- NPI 1932980992
-
dba Court Street Family Medicine
- Internal Medicine Physician
- Flint, MI
- NPI 1730276981
-
dba Premier Imaging Centers
- Radiology Clinic/Center
- Flint, MI
- NPI 1578898698
-
- Urgent Care Clinic/Center
- Flint, MI
- NPI 1952578197
-
- Multi-Specialty Clinic/Center
- Flint, MI
- NPI 1043343759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1326121823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "G4007 W COURT ST",
"address_2": "SUITE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485323560",
"telephone_number": "810-732-7716",
"fax_number": "810-732-7863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "G4007 W COURT ST",
"address_2": "SUITE B",
"city": "FLINT",
"state": "MI",
"postal_code": "485323560",
"telephone_number": "810-732-7716",
"fax_number": "810-732-7863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SHAFI",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301056194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3331400",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "080B512470",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.