Active NPI
Moeed Ahmed, MD
- Nephrology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 125079204
- Practice address
- 251 E Huron St
Chicago, IL 60611-2908 - Phone
- (402) 490-2659
- NPI assigned
- Jul 10, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01092635A | IN | |
| Internal Medicine Physician | 207R00000X | 8529 | NE | |
| Nephrology Physician | 207RN0300X | 01092635A | IN | |
| Nephrology Physician | 207RN0300X | 125079204 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611-2908
Mailing address
251 E Huron St
Chicago, IL 60611-2908
Phone (402) 490-2659
Other practice location 1
5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 289-5410
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mahmed@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 286-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125079204 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
5501 W Bethel Ave
Muncie, IN 47304
Phone (765) 741-2957
Interoperability endpoints
- mahmed12@direct.iuhealth.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Internal Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ball Dialysis at Forest Ridge
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Castle, IN
- NPI 1396805248
Dialysis facility
-
- General Acute Care Hospital
- New Castle, IN
- NPI 1356428429
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Critical Access Hospital
- Portland, IN
- NPI 1801315692
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
dba Marion General Hospital Nutritional Support
- Nutrition Support Registered Nurse
- Marion, IN
- NPI 1861578072
Hospital
-
dba Marion General Hospital Ambulance Service
- Land Ambulance
- Marion, IN
- NPI 1932295466
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1467004374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "402-490-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "402-490-2659"
}
],
"practiceLocations": [
{
"address_1": "5501 W Bethel Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473048513",
"country_code": "US",
"telephone_number": "765-289-5410",
"fax_number": "765-281-2085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "MOEED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01092635A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "8529",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IN",
"license": "01092635A",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "125079204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mahmed@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5501 W Bethel Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473048513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.