Individual provider Active NPI

Mohamed Ahmed, M.D.

  • Internal Medicine Physician
  • Florence, AL
National Provider Identifier
1366444861
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16827 Issued in AL
Practice address
205 Marengo St
Florence, AL 35630-6033
Phone
(866) 313-5265
Fax
(205) 313-5298
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30657 TN
Internal Medicine Physician 207R00000X 16827 AL Primary

Addresses

Primary practice location

205 Marengo St
Florence, AL 35630-6033

Mailing address

PO Box 786
Birmingham, AL 35201-0786
Phone (866) 313-5265

Other identifiers 2

IdentifierTypeStateIssuer
009947825MedicaidAL
051519958OtherALBCBSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031205000673 AL Practitioner - Emergency MedicinePractitioner - Internal Medicine 0840195350 Reassigns benefits to 7 organizations
I20140308000214 TN Practitioner - Emergency MedicinePractitioner - Internal Medicine 0840195350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
41.83 of 100Reported as group
Quality
3.95
Improvement activities
40
Cost
82.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16827ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood HB Medical Services LLC Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Ess of Eufaula, LLC Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Mar 15, 2016 Accepting new patients
Fort Payne Clinic Corp CurrentSince Jan 1, 2019 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jul 15, 2011 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Apr 1, 2012 Accepting new patients
Pickens County Health Care Authority Current Accepting new patients
Fort Payne Clinic Corp. Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Ess of Luverne LLC Emergency Medicine CurrentSince Dec 15, 2021 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Valley Pain Clinic LLC Past Accepting new patients
North Alabama Emergency Physicians LLC Emergency Medicine Past Accepting new patients
North Alabama Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Northern Alabama Physicians, LLP Past Accepting new patients
Pine Emergency Group LLC Emergency Medicine Past Accepting new patients
Anesthesia Services of Decatur PC Past Accepting new patients
Healthcare Authority of the City of Huntsville Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

241 Robert K Wilson Dr
Carrollton, AL 35447
Phone (205) 367-2408

1910 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 255-0820

1874 Beltline Rd SW
Decatur, AL 35601
Phone (256) 301-2211

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

42024 Highway 195
Haleyville, AL 35565
Phone (205) 485-7371

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970

101 Hospital Dr
Luverne, AL 36049
Phone (334) 335-3374

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1265 E College St
Pulaski, TN 38478
Phone (931) 363-7531

705 E Poplar Ave
Selmer, TN 38375
Phone (731) 645-3221

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1366444861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352010786",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARENGO ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306033",
            "telephone_number": "866-313-5265",
            "fax_number": "205-313-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "30657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "16827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009947825",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSA",
            "identifier": "051519958",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.