Khadija L Ahmed, M.D.
Individual provider Active NPI Internal Medicine Physician · Springfield, OH
NPI 1366567265 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1366567265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35-094335 (OH)
- Practice address
- 2100 Emmanuel Way Ste B
Springfield, OH 45502-7218 - Phone
- (937) 504-0120
- Fax
- (937) 521-1092
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Alliance Physicians Inc
Practice addresses (Care Compare)
1625 S Alex Rd
West Carrollton, OH 45449-5404
Phone (937) 865-0534
2300 N Limestone St
Suite 120
Springfield, OH 45503-1102
Phone (937) 504-8390
Hospital & facility affiliations
- Community Mercy Home Care, LLC
- Soin Medical Center
- Springfield Regional Medical Center
- Ohio Valley Surgical Hospital
- Kettering Health Dayton
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 73.21
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20110105000521 | OH | Practitioner - Internal Medicine | 9335338441 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Internal Medicine | Current |
Accepting new patients |
| Alliance Physicians, Inc. | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Queens Long Island Medical Group, P.C. | Internal Medicine | Past | Accepting new patients |
Locations
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
2115 Leiter Rd
Miamisburg, OH 45342
Phone (937) 384-6920
2300 N Limestone St
Ste 120
Springfield, OH 45503
Phone (866) 224-9472
2300 N Limestone St
Ste 230
Springfield, OH 45503
2100 Emmanuel Way
Ste B
Springfield, OH 45502
Phone (937) 398-0020
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
386 N Detroit St
Xenia, OH 45385
Phone (937) 352-2860
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-094335 | OH | Yes |
Addresses
Primary practice location
2100 Emmanuel Way Ste B
Springfield, OH 45502-7218
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3121615 | Medicaid | OH | |
| 209478 | Medicaid | NY |
Other names
- Khadija L Faridi
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kahmed550866@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Other providers in Springfield, OH
- Cindy Francis Ahern
- J Kevin Ahern
- Afshan H Ahmed
- Ashfaq Taj Ahmed
- Imtiaz Ahmed
- Khairat Uddin Ahmed
- Munis Mahboob Ahmed
- Rukan Ahmed
- Suhail R Ahmed
- Tajuddin Ahmed
All providers in Springfield, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. 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.