Lubna Ahsan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301064203 Issued in MI

Practice address

6940 Dixie Hwy
Bridgeport, MI 48722-9760

Phone

(989) 746-0933

Fax

(989) 746-5070

NPI assigned

Sep 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15125/brand/1/csg/1/fhir/r4
• Direct secure messaging: lubna.ahsan.1@15125.direct.athenahealth.com

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.

• Cass River Health Plaza PLLC

  • Family Medicine Physician
  • Bridgeport, MI
  • NPI 1356600431
  Medicare reassignment NPD

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1467448134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 N ELMS RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484339426",
            "telephone_number": "810-487-3500",
            "fax_number": "810-487-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 DIXIE HWY",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "487229760",
            "telephone_number": "989-746-0933",
            "fax_number": "989-746-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2487 N Elms Rd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "MI",
            "postal_code": "484339426",
            "country_code": "US",
            "telephone_number": "810-487-3500",
            "fax_number": "810-487-3530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHSAN",
        "first_name": "LUBNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301064203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ra'Chell Abraham
• Siara Maria Acevedo
• Ahmed M Al-Jorani
• Catherine Marie Allgeyer
• Sarah Lynn Allingston, RBT
• Deyaaeddin Ali Alnaas
• Adriene L. Anderson, LLMSW

• Internal Medicine Physician in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.