Sarah Ahmad, M.D.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI 1336034453 · NPPES record last updated Sep 16, 2025

Key facts

NPI
1336034453
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
2025026454 (MO)
Practice address
3005 N Ballas Rd
Suite 425
St. Louis, MO 63131
Phone
(314) 996-4087
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250925004025 MO Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
3072018456

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2025026454MOMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2025026454 MO Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3005 N Ballas Rd
Suite 425
St. Louis, MO 63131

Mailing address

12468 Whisper Hollow Drive Unit G
Maryland Heights, MO 63043
Phone (314) 358-3459

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2025.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1336034453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12468 WHISPER HOLLOW DRIVE UNIT G",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "63043",
            "telephone_number": "314-358-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 N BALLAS RD",
            "address_2": "SUITE 425",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-996-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SARAH",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2025026454",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

All providers in St. Louis, MO · Student in an Organized Health Care Education/Training Program in Missouri

Sources for this page

Verify at the official NPI Registry.