Active NPI
Imad Irshad Ahmad, M.B.B.S.
- Gastroenterology Physician
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R7372
- Practice address
- 2800 E Broad St Ste 522
Mansfield, TX 76063-6417 - Phone
- (817) 877-0888
- NPI assigned
- Jun 9, 2010
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R7372 | TX | Primary |
| Gastroenterology Physician | 207RG0100X | 1.052192 | CT |
Addresses
Primary practice location
2800 E Broad St Ste 522
Mansfield, TX 76063-6417
Mailing address
7610 N Stemmons Fwy Ste 600
Dallas, TX 75247-4228
Phone (214) 689-5960
Other practice location 1
309 Regency Pkwy Ste 201
Mansfield, TX 76063-5165
Phone (817) 877-0888
Other names 1
- Imad Ahmad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180827002911 | TX | Practitioner - Gastroenterology | 5496989428 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medhealth
Practice addresses (Care Compare)
2800 E Broad St
Suite 522
Mansfield, TX 76063-6417
Phone (682) 242-8970
Hospital & facility affiliations
- Methodist Mansfield Medical Center
- Texas Health Hospital Mansfield
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1.052192 | CT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
4560 Lake Ridge Pkwy
Ste 300
Grand Prairie, TX 75052
Phone (214) 278-5000
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
2800 E Broad St
Ste 522
Mansfield, TX 76063
Phone (682) 242-8970
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
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.
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
Hospital & facility affiliations 2
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": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1396065645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 N STEMMONS FWY STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474228",
"telephone_number": "214-689-5960",
"fax_number": "469-713-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E BROAD ST STE 522",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636417",
"telephone_number": "817-877-0888"
}
],
"practiceLocations": [
{
"address_1": "309 Regency Pkwy Ste 201",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760635165",
"country_code": "US",
"telephone_number": "817-877-0888",
"fax_number": "817-877-5039",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "IMAD",
"middle_name": "IRSHAD",
"name_prefix": "Dr.",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R7372",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CT",
"license": "1.052192",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IMAD",
"last_name": "AHMAD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.