Ahad Ayaz, MD
Individual provider Active NPI Internal Medicine Physician · Lagrange, IN
NPI 1497160642 · NPPES record last updated Sep 2, 2021
Key facts
- NPI
- 1497160642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301104564 (MI)
- Practice address
- 2500 N Detroit St
Lagrange, IN 46761 - Phone
- (260) 463-2133
- Fax
- (260) 463-3775
- NPI assigned
- Jun 26, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Internal Medicine Associates, PC
Practice addresses (Care Compare)
2500 N Detroit St
Lagrange, IN 46761-1158
Phone (260) 463-2133
433 W High St
Bryan, OH 43506-1690
Phone 2604632133111
Hospital & facility affiliations
- Community Hospitals and Wellness Centers
- Parkview Dekalb Hospital
- Adams Memorial Hospital
- Parkview Huntington Hospital
- Parkview Noble Hospital
- Parkview Hospital
- Community Hospitals and Wellness Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.61 of 100
- Quality
- 76.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.02 of 100
- Quality
- 74.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.92 of 100
- Quality
- 81.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170801001399 | IN | Practitioner - Internal Medicine | 3678884400 | Reassigns benefits to 1 organization |
| I20240830003035 | OH | Practitioner - Internal Medicine | 3678884400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104564 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Internal Medicine Associates, PC | Internal Medicine | Current |
Accepting new patients |
| Northeast Internal Medicine Associates, PC | Current | Accepting new patients | |
| Van Wert County Hospital Association | Past | Accepting new patients | |
| Community Hospitals and Wellness Centers | Past | Accepting new patients |
Locations
1310 E 7th St
Ste G
Auburn, IN 46706
Phone (260) 436-0259
885 W Connexion Way
Ste 200
Columbia City, IN 46725
Phone (260) 248-9260
2003 Stults Rd
Ste 220
Huntington, IN 46750
Phone (260) 463-2133
610 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-5592
2500 N Detroit St
Lagrange, IN 46761
Phone (260) 463-2133
1655 N Cass St
Wabash, IN 46992
Phone (260) 463-2133
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
Interoperability endpoints
- aayaz115648@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301104564 | MI | Yes |
Addresses
Primary practice location
2500 N Detroit St
Lagrange, IN 46761
Mailing address
PO Box 236
Lagrange, IN 46761-0236
Phone (260) 463-2133
Other practice location 1
610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone (260) 347-5592
Other practice location 2
1655 N Cass St
Wabash, IN 46992-9416
Phone (260) 463-2133
Other practice location 3
2003 Stults Rd Ste 220
Huntington, IN 46750-1291
Phone (260) 463-2133
Other practice location 4
1310 E 7th St Ste G
Auburn, IN 46706-2518
Phone (260) 463-2133
Other practice location 5
885 W Connexion Way Ste 200
Columbia City, IN 46725-1045
Phone (260) 463-2133
Other providers in Lagrange, IN
- Rhonda Leigh Anderson
- Misty D. Arellano
- Brenda Kaye Armentrout
- Muhammad Arslan
- Joshua Daniel Avery
- Jeffrey L Bassett
- Aditi Bawa
- Beacon Medical Group, Inc.
- Larry Best
- Courtney Boggs
All providers in Lagrange, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.