Individual provider Active NPI

Atique Ahmad, M.D.

  • Internal Medicine Physician
  • Spokane, WA
National Provider Identifier
1457546590
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60074654 Issued in WA
Practice address
316 W Boone Ave
Suite 757
Spokane, WA 99201-2354
Phone
(509) 868-0876
Fax
(509) 385-0670
NPI assigned
Sep 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301091168 MI
Pediatrics Physician 208000000X 4301091168 MI
Internal Medicine Physician 207R00000X MD60074654 WA Primary

Addresses

Primary practice location

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354

Mailing address

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354
Phone (509) 868-0876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091022000564 WA Practitioner - Internal Medicine 0840372637 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wa Pacs 2 PC 26 clinicians

Practice addresses (Care Compare)

135 S 336TH St
Federal Way, WA 98003-6350
Phone (253) 835-7453

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Rainier Rehabilitation Nursing home, Puyallup, WA, CCN 505304
  • Avalon Care Center Federal Way, L.L.C. Nursing home, Federal Way, WA, CCN 505510
  • Life Care Center of South Hill Nursing home, Puyallup, WA, CCN 505526
  • Lea Hill Rehabilitation and Care Center Nursing home, Auburn, WA, CCN 505528

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301091168MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Pac Services PC CurrentSince Oct 1, 2017 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Aug 1, 2024 Accepting new patients
Wa Pacs 2 PC CurrentSince Dec 29, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine CurrentSince Dec 23, 2016 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jan 7, 2010 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Jan 7, 2010 Accepting new patients
Inpatient Consultants of California, Inc. Internal Medicine CurrentSince Dec 23, 2016 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Avalon Care Center-Kent LLC Past Accepting new patients
Avalon Care Center - Federal Way LLC Past Accepting new patients
Wesley Homes Lea Hill LLC Past Accepting new patients
Wildwood Healthcare, Inc. PastSince Dec 28, 2016 Accepting new patients
Inpatient Consultants of California, Inc Internal Medicine Past Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC PastSince Jan 28, 2024 Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

80 SW 2nd St
Renton, WA 98057
Phone (425) 226-4510

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

4755 S 48th St
Tacoma, WA 98409
Phone (253) 475-4611

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avalon Care Center - Federal Way, LLCFederal Way, WA, CCN 505510 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 26, 2025
Mar 26, 2025
Benson Heights Rehabilitation CenterKent, WA, CCN 505519 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 14, 2023
Jan 14, 2023
Rainier RehabilitationPuyallup, WA, CCN 505304 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Dec 28, 2016
Dec 28, 2016
Dec 28, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1457546590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "ATIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301091168",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301091168",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60074654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.