Active NPI
Abrar Ahmad, M.D.
- Nephrology Physician
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 39737
- Practice address
- 2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634 - Phone
- (423) 245-6000
- Fax
- (423) 245-6062
- NPI assigned
- Oct 31, 2005
- Last updated
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 0101237891 | VA | |
| Nephrology Physician | 207RN0300X | 39737 | TN | Primary |
Addresses
Primary practice location
2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Mailing address
2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Phone (423) 245-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105245 | Other | TN | BLUECROSS BLUESHIELD |
| 010190240 | Medicaid | VA | |
| TN0108 | Other | TN | JOHN DEERE |
| 3330508 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Phone 4232456000211
340 Anderson Hollow Rd
Suite 100
Norton, VA 24273-1100
Phone 4232456000211
350 BMH Physicians Office BLDG
Maryville, TN 37804-5819
Phone (865) 982-5044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blount Memorial Physician Group, Inc | Current | Accepting new patients |
Locations
350 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 982-5044
Interoperability endpoints
- aahmad12083@direct.acumenmd.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Family Medicine Physician
- Alcoa, TN
- NPI 1699710194
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bma West Kingsport
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kingsport, TN
- NPI 1982706305
Dialysis facility
-
dba Mountain Empire Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Norton, VA
- NPI 1346344116
Dialysis facility
-
dba Blount Memorial Hospital
- General Acute Care Hospital
- Maryville, TN
- NPI 1619939071
-
dba Bristol Regional Medical Center
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
- General Acute Care Hospital
- Abingdon, VA
- NPI 1104812684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1376534305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR",
"address_2": "SUITE 102",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-245-6000",
"fax_number": "423-245-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR",
"address_2": "SUITE 102",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-245-6000",
"fax_number": "423-245-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "ABRAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101237891",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "39737",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "4105245",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010190240",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN0108",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3330508",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.