Ahmad H Ahmad MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36108732 Issued in IL

Legal business name

AHMAD H AHMAD MD SC

Practice address

1770 E Lake Shore Dr
Ste 201
Decatur, IL 62521-3832

Phone

(217) 428-7921

Fax

(217) 428-7931

NPI assigned

Sep 12, 2011

Last updated

Dec 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad H Ahmad, MDNPI 1053397018

Title

Owner

Phone

(217) 428-7921

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad H Ahmad, M.D.

  • Internal Medicine Physician
  • Decatur, IL
  • NPI 1053397018
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1447532924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR",
            "address_2": "STE 201",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213832",
            "telephone_number": "217-428-7921",
            "fax_number": "217-428-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAKE SHORE DR",
            "address_2": "STE 201",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625213832",
            "telephone_number": "217-428-7921",
            "fax_number": "217-428-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD H AHMAD MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-428-7921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36108732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aef Management Group (Carolina Imaging Associates)
• Samantha A Agar, M.D.
• Aging Graceful Care LLC (Aging Graceful Care)
• Erica Agrall
• Cathy Ahlrich, L.C.P.C.
• Ahmad H Ahmad, M.D.
• Akif Ahmed, DO
• Asad Nadeem Ahmed, MD
• Mohammed J Ahmed, M.D.
• Bretton J Ahrens, NP

• Internal Medicine Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.