Active NPI
Afzal U Ahmed, M.D.
- Diagnostic Radiology Physician
- Princeton, WV
National Provider Identifier
1427057090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13228
- Practice address
- 608 New Hope Rd
Suite 7
Princeton, WV 24740-2273 - Phone
- (304) 487-1076
- Fax
- (304) 425-9499
- NPI assigned
- Jul 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13228 | WV | Primary |
Addresses
Primary practice location
608 New Hope Rd
Suite 7
Princeton, WV 24740-2273
Mailing address
PO Box 1559
Princeton, WV 24740-1559
Phone (304) 487-1076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123396000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lively Pediatrics, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Princeton, WV
- NPI 1063006047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1427057090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1559",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247401559",
"telephone_number": "304-487-1076",
"fax_number": "304-425-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 NEW HOPE RD",
"address_2": "SUITE 7",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402273",
"telephone_number": "304-487-1076",
"fax_number": "304-425-9499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "AFZAL",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "13228",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123396000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.