Individual provider Active NPI

Sherwan D. Ahmad, D.O.

  • Family Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1366731697
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2413 Issued in TN
Practice address
452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Phone
(615) 900-3301
Fax
(615) 962-9328
NPI assigned
Apr 7, 2011
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 2413 TN Primary

Addresses

Primary practice location

452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310

Mailing address

452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Phone (615) 900-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20120904000506 TN Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2062669617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

452 N Thompson LN
Suite E
Murfreesboro, TN 37129-4310
Phone (615) 900-3301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Kids, LLC PastSince Dec 27, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sherwan.ahmad@h1.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1366731697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 N THOMPSON LN",
            "address_2": "SUITE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294310",
            "telephone_number": "615-900-3301",
            "fax_number": "615-962-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 N THOMPSON LN",
            "address_2": "SUITE E",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294310",
            "telephone_number": "615-900-3301",
            "fax_number": "615-962-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SHERWAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.