NPIMap

Individual provider Active NPI

Rubina Ahmed, M.D.

  • Internal Medicine Physician
  • Taylor, MI
National Provider Identifier
1376512418
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
071462 Issued in 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
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 071462 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110307000394 MI Practitioner - Internal Medicine 3870775265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071462MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubina Ahmed, M.D., P.C. CurrentSince Jul 14, 2010 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCGBA/Endpoint/EDCGBA

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1376512418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45599 FOUNTAIN VIEW DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481883082",
            "telephone_number": "734-287-0700",
            "fax_number": "734-287-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 TELEGRAPH RD",
            "address_2": "SUITE 105",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806847",
            "telephone_number": "734-287-0700",
            "fax_number": "734-287-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RUBINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "071462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.