Individual provider Active NPI

Rami Azzam Ahmed, D.O.

  • Emergency Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1376740092
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
02005379A Issued in IN
Practice address
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone
(317) 962-3886
Fax
(317) 963-5492
NPI assigned
Jun 27, 2007
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102208609 VA
Emergency Medicine Physician 207P00000X 02005379A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
Indianapolis, IN 46202-1239

Mailing address

2567 Manigault St
Carmel, IN 46032-8565
Phone (440) 343-2049

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAHMED1@direct.iuhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN, MI, NY, AR, FL6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20080218000261 OH Practitioner - Emergency Medicine 5597848382 Reassigns benefits to 1 organization
I20180601001061 IN Practitioner - Emergency Medicine 5597848382 Reassigns benefits to 6 organizations
I20230822001634 MI Practitioner - Emergency Medicine 5597848382
I20231011002446 NY Practitioner - Emergency Medicine 5597848382
I20250207001599 AR Practitioner - Emergency Medicine 5597848382 Reassigns benefits to 1 organization
I20250219001462 FL Practitioner - Emergency Medicine 5597848382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivisit Doc IncGroup PAC ID 8820476070, 2 clinicians

Practice addresses (Care Compare)

7345 Woodland Dr
Suite 1
Indianapolis, IN 46278-1737
Phone (317) 759-4008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102208609VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Emergency Professional Services, Inc. Single Specialty CurrentSince Sep 1, 2013 Accepting new patients
Correct Care, Inc. Single Specialty CurrentSince Feb 4, 2025 Accepting new patients
Cep America LLC Single Specialty Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Riverview Hospital Single Specialty CurrentSince Jun 16, 2022 Accepting new patients
Icem-Wishard LLC Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Cep America LLC Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Quest Health Remote Care LLC Single Specialty CurrentSince Feb 24, 2025 Accepting new patients
Riverview Hospital CurrentSince Jun 16, 2022 Accepting new patients
Indiana University Health Care Associates, Inc Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Ivisit Doc Inc Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Summa Emergency Associates Single Specialty Past Accepting new patients
Norwalk Emergency Services, Inc. Single Specialty Past Accepting new patients
Quest Health Solutions, LLC PastSince Feb 24, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Single Specialty Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

3301 N University Dr
Ste 310
Coral Springs, FL 33065
Phone (754) 778-7147

7351 Wiles Rd
Ste 104
Coral Springs, FL 33067
Phone (754) 778-7147

5208 Reliable Pkwy
Chicago, IL 60686

5911 Reliable Pkwy
Chicago, IL 60686

14585 Hazel Dell Pkwy
Rm Urgent
Carmel, IN 46033
Phone (317) 214-5030

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

9690 E 116th St
Fishers, IN 46037
Phone (317) 214-5750

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

7345 Woodland Dr
Ste 1
Indianapolis, IN 46278
Phone (317) 762-4025

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Interoperability endpoints

  • Direct secure messaging: rahmed1@direct.iuhealth.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1376740092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 MANIGAULT ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328565",
            "telephone_number": "440-343-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-3886",
            "fax_number": "317-963-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RAMI",
        "middle_name": "AZZAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102208609",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02005379A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAHMED1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1701 N Senate Blvd",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462021239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.