Abul Shamim Ahsan, M.D.
Individual provider Active NPI Hospitalist Physician · Jefferson City, MO
NPI 1376711044 · NPPES record last updated Oct 30, 2024
Key facts
- NPI
- 1376711044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2020037788 (MO)
- Practice address
- 1125 Madison St
Jefferson City, MO 65101-5227 - Phone
- (573) 632-5000
- Fax
- (573) 634-2033
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Citizens Memorial Healthcare
The Curators of the University of Missouri
Pandc Healthcare LLC
Hospitalist Medicine Physicians of Texas PLLC
Practice addresses (Care Compare)
Bolivar, MO 65613
Phone (417) 328-6631
1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141
19600 E 39TH St S
Independence, MO 64057-2301
Phone (913) 222-9779
9100 W 14TH St
Shawnee Mission, KS 66204-4004
Phone (913) 676-2000
929 N Saint Francis Ave
HMP of TX PLLC
Wichita, KS 67214-3821
Phone (316) 291-4396
Hospital & facility affiliations
- Centerpoint Medical Center
- Adventhealth Shawnee Mission
- University of Missouri Health Care
- Citizens Memorial Hospital
- Golden Valley Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, KS
- 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 |
|---|---|---|---|---|
| I20210113000614 | MO | Practitioner - Internal Medicine |
0143305185 | Reassigns benefits to 3 organizations |
| I20250904003237 | KS | Practitioner - Internal Medicine | 0143305185 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020037788 | MO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Citizens Memorial Healthcare | Hospitalist | Current |
Accepting new patients |
| Curators of the University of Missouri | Current |
Accepting new patients | |
| Rara Medical Care LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current |
Accepting new patients |
| P&C Healthcare LLC | Internal Medicine | Current |
Accepting new patients |
| Citizens Memorial Healthcare | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Franklin County, LTD | Internal Medicine | Past | Accepting new patients |
| Licking Memorial Professional Corp. | Past | Accepting new patients | |
| Centerpoint Medical Center of Independence, LLC | Past | Accepting new patients | |
| P & C Consultant Services | Hospitalist | Past | Accepting new patients |
Locations
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1502 N Jefferson St
Carrollton, MO 64633
Phone (660) 542-1695
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHAEDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020037788 | MO | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 2020037788 | MO | |
| Hospitalist Physician | 208M00000X | 2020037788 | MO | Yes |
Addresses
Primary practice location
1125 Madison St
Jefferson City, MO 65101-5227
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aahsan14297@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Direct Messaging Address | aahsan14297@lickingmemorial.medicity.net | Other | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Other providers in Jefferson City, MO
- Admire Your Smile LLC
- Adorno Rogers Technology
- Advanced Radiology of Jefferson City, LLC
- Aerocare Home Medical Equipment, Inc
- Abigail Aguilar
- Ryan David Akin
- Nicole Josephine Albin
- Ericka Albright
- Tyler Lee Alderson
- Patricia A Alewel
All providers in Jefferson City, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2024. 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.