Rubina Ahmed, M.D.
Individual provider Active NPI Internal Medicine Physician · Taylor, MI
NPI 1376512418 · NPPES record last updated Jul 2, 2020
Key facts
- NPI
- 1376512418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 071462 (MI)
- Practice address
- 12701 Telegraph Rd
Suite 105
Taylor, MI 48180-6847 - Phone
- (734) 287-0700
- Fax
- (734) 287-3200
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12701 Telegraph Rd
Suite 105
Taylor, MI 48180-4087
Phone (734) 287-0700
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Taylor
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Corewell Health Wayne Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20110307000394 | MI | Practitioner - Internal Medicine | 3870775265 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071462 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rubina Ahmed, M.D., P.C. | Current |
Accepting new patients | |
| Omega Home Medical Equipment, Inc | Past | Accepting new patients |
Locations
12701 Telegraph Rd
Ste 105
Taylor, MI 48180
Phone (734) 287-0700
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDCGBA/Endpoint/EDCGBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 071462 | MI | Yes |
Addresses
Primary practice location
12701 Telegraph Rd
Suite 105
Taylor, MI 48180-6847
Mailing address
45599 Fountain View Dr
Canton, MI 48188-3082
Phone (734) 287-0700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P103159 0820084 | Other | MI | BLUE CARE NETWORK |
| 1108200841 | Other | MI | BLUE CROSS BLUE SHIELD |
| 44905554 | Medicaid | MI |
Other providers in Taylor, MI
- Madan Aheer
- Faisal Imtiaz Ahmad
- Omar Imtiaz Ahmad
- Sonia S Ahmad
- Muhanned Ahmed
- Syed M. Ahsan
- Jeanne Aichele
- Ajluni Dental Care
- Remy Ajluni
- Dina Akhdar-Baghdadi
All providers in Taylor, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. 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.