Active NPI
Ahmed H Jafri, M.D.
- Neurology Physician
- Carbondale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036078345
- Practice address
- 305 W Jackson St Ste 103
Carbondale, IL 62901-1474 - Phone
- (618) 351-4972
- Fax
- (618) 351-6522
- NPI assigned
- May 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036078345 | IL | Primary |
| Vascular Neurology Physician | 2084V0102X | R1P30 | MO | |
| Neurology Physician | 2084N0400X | R1P30 | MO | |
| Clinical Neurophysiology Physician | 2084N0600X | R1P30 | MO |
Addresses
Primary practice location
305 W Jackson St Ste 103
Carbondale, IL 62901-1474
Mailing address
1438 S Grand Blvd
Monteleone Hall
Saint Louis, MO 63104-1027
Phone (314) 977-4883
Other practice location 1
3660 Vista Ave
Suite 303
Saint Louis, MO 63110-2540
Phone (314) 977-6082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203014618 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajafri24504@sih.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
305 W Jackson St
Suite 103
Carbondale, IL 62901-1474
Phone (618) 351-4972
Hospital & facility affiliations
- Memorial Hospital of Carbondale
- Herrin Hospital
- Harrisburg Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 55.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1P30 | MO | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Neurology | Current | Accepting new patients |
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients |
Locations
1239 E Main St
Carbondale, IL 62901
305 W Jackson St
Ste 103
Carbondale, IL 62901
Phone (618) 351-4972
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
Interoperability endpoints
- ajafri24504@sih.direct-ci.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, IL
- NPI 1073580130
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
-
- General Acute Care Hospital
- Herrin, IL
- NPI 1528158573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1376597815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 S GRAND BLVD",
"address_2": "MONTELEONE HALL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041027",
"telephone_number": "314-977-4883",
"fax_number": "314-977-4876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 W JACKSON ST STE 103",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629011474",
"telephone_number": "618-351-4972",
"fax_number": "618-351-6522"
}
],
"practiceLocations": [
{
"address_1": "3660 Vista Ave",
"address_2": "Suite 303",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102540",
"country_code": "US",
"telephone_number": "314-977-6082",
"fax_number": "314-977-6086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAFRI",
"first_name": "AHMED",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036078345",
"primary": true
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "MO",
"license": "R1P30",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MO",
"license": "R1P30",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "MO",
"license": "R1P30",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203014618",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajafri24504@sih.direct-ci.com",
"affiliation": "N",
"address_1": "305 W Jackson St Ste 103",
"city": "Carbondale",
"state": "IL",
"country_code": "US",
"postal_code": "629011474",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.