NPIMap

Individual provider Active NPI

Mohammad A. Ahmed, D.O.

  • Emergency Medicine Physician
  • Kenton, OH
National Provider Identifier
1376513838
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34-00-6326-A Issued in OH
Practice address
921 E Franklin St
Kenton, OH 43326-2020
Phone
(419) 673-0761
Fax
(419) 673-9366
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34-00-6326-A OH Primary

Addresses

Primary practice location

921 E Franklin St
Kenton, OH 43326-2020

Mailing address

PO Box 65274
Charlotte, NC 28265-0274
Phone (800) 377-8721

Other identifiers 2

IdentifierTypeStateIssuer
2047976MedicaidOH
000000368185OtherOHBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040826000916 OH Practitioner - Emergency MedicinePractitioner - Family Practice 1254306038 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Health Solutions LLC Emergency Medicine CurrentSince Dec 27, 2012 Accepting new patients
Incare Health Solutions, LLC CurrentSince Dec 27, 2012 Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Medcentral Professional Foundation, LLC PastSince Apr 1, 2008 Accepting new patients
Columbus Physician Resources Inc Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Nes of Shelby Inc Emergency Medicine Past Accepting new patients
Nes of Shelby, Inc. Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients

Locations

175 Edgefield Blvd
Marion, OH 43302
Phone (740) 751-6433

7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002

2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1376513838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65274",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282650274",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FRANKLIN ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262020",
            "telephone_number": "419-673-0761",
            "fax_number": "419-673-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMMAD",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-00-6326-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047976",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000368185",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.