Individual provider Active NPI

Salva Gracia Bernal Ahmed, MD

  • Family Medicine Physician
  • Brookville, OH
National Provider Identifier
1346287091
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.069867 Issued in OH
Practice address
950 Salem St
Brookville, OH 45309-8227
Phone
(937) 833-2149
Fax
(937) 833-5359
NPI assigned
Jun 1, 2006
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.069867 OH Primary

Addresses

Primary practice location

950 Salem St
Brookville, OH 45309-8227

Mailing address

950 Salem St
Brookville, OH 45309-8227
Phone (937) 833-2149

Other identifiers 1

IdentifierTypeStateIssuer
2036620MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000363 OH Practitioner - Family Practice 3870635980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Family Care IncGroup PAC ID 5092608372, 58 clinicians

Practice addresses (Care Compare)

950 Salem St
Brookville, OH 45309-8227
Phone (937) 833-2149

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
80.85
Promoting interoperability
99
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.069867OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Family Care Inc Family Medicine CurrentSince Apr 1, 1996 Accepting new patients
Samaritan Family Care, Inc. Family Medicine Past Accepting new patients

Locations

950 Salem St
Brookville, OH 45309
Phone (937) 833-2149

98 Mosier Pkwy
Brookville, OH 45309
Phone (937) 833-4103

1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 2

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 2

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1346287091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 SALEM ST",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098227",
            "telephone_number": "937-833-2149",
            "fax_number": "937-833-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 SALEM ST",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098227",
            "telephone_number": "937-833-2149",
            "fax_number": "937-833-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SALVA GRACIA",
        "middle_name": "BERNAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.069867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, OH

Sources for this page

Verify at the official NPI Registry.