Hajra Ahmad, MD
Individual provider Active NPI Psychiatry Physician · Roanoke, VA
NPI 1346728797 · NPPES record last updated Aug 8, 2022
Key facts
- NPI
- 1346728797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 0101274834 (VA)
- Practice address
- 2017 Jefferson St SW
Roanoke, VA 24014-2419 - Phone
- (540) 981-8025
- NPI assigned
- Jul 29, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Medical Center
Practice addresses (Care Compare)
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220804001430 | VA | Practitioner - Psychiatry | 3577814375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.245445 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current |
Accepting new patients | |
| Carilion Medical Center | Current |
Accepting new patients |
Locations
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
Interoperability endpoints
- hahmad135495@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 57.245445 | OH | |
| Psychiatry Physician | 2084P0800X | 0101274834 | VA | Yes |
Addresses
Primary practice location
2017 Jefferson St SW
Roanoke, VA 24014-2419
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5715
Other providers in Roanoke, VA
- Morgan Bishop Agnes
- Melissa Aguilar
- Ahc Home Health of Roanoke, LLC
- Bashiruddin K Ahmad
- Darakhshan Ahmad
- Shahram Ahmadzadeh
- Nasreen Ahmed
- Jaspreet Singh Ahuja
- Ebunoluwa Ajadi
- Hashem Nabil a Akbar
All providers in Roanoke, VA · Psychiatry Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.