Individual provider Active NPI

Mushtaq Ahmad, MD

  • Pulmonary Disease Physician
  • Marion, OH
National Provider Identifier
1508822446
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.088436 Issued in OH
Practice address
1021 Harding Memorial Pkwy
Marion, OH 43302-6315
Phone
(740) 387-4037
NPI assigned
Apr 20, 2006
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 88436 OH
Pulmonary Disease Physician 207RP1001X 35.088436 OH Primary

Addresses

Primary practice location

1021 Harding Memorial Pkwy
Marion, OH 43302-6315

Mailing address

839 Christopher Dr
Marion, OH 43302-8210
Phone (740) 387-4037

Other practice location 1

400 Matthew St Ste 305
Marietta, OH 45750-1600
Phone (740) 568-5662

Other practice location 2

210 N 7th St Ste 100
Marietta, OH 45750-2244
Phone (740) 568-5310

Other identifiers 1

IdentifierTypeStateIssuer
A7964MedicaidNM

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mushtaq.ahmad@mmhs.medicity.net
Direct Messaging Address mushtaq.ahmad@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140111000117 AR Practitioner - Pulmonary Disease 1254302896 Reassigns benefits to 1 organization
I20210401001020 OH Practitioner - Pulmonary Disease 1254302896 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

400 Matthew St
Suite 305
Marietta, OH 45750-1600
Phone (740) 568-5662

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88436OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Arkansas Healthcare Services LLC Pulmonary Disease CurrentSince Oct 4, 2013 Accepting new patients
Marietta Memorial Hospital CurrentSince Mar 8, 2021 Accepting new patients
Lake Hospital System, Inc CurrentSince Jun 26, 2023 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Lake Hospital System Inc CurrentSince Jun 26, 2023 Accepting new patients
Lake Hospital System Inc Current Accepting new patients
Marietta Memorial Hospital CurrentSince Mar 8, 2021 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Hot Springs National Park Hospital Holdings LLC Past Accepting new patients
Pecos Valley of New Mexico, LLC Past Accepting new patients

Locations

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

1900 Malvern Ave
Ste 302
Hot Springs National Park, AR 71901
Phone (501) 623-9300

310 W Union St
#102
Athens, OH 45701
Phone (740) 331-6918

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

210 N 7th St
Ste 100
Marietta, OH 45750
Phone (740) 374-2999

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

400 Matthew St
Ste 305
Marietta, OH 45750
Phone (740) 568-5662

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4
  • Direct secure messaging: mahmad79620@direct.kdhealth.us

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1508822446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 CHRISTOPHER DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433028210",
            "telephone_number": "740-387-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HARDING MEMORIAL PKWY",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026315",
            "telephone_number": "740-387-4037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Matthew St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501600",
            "country_code": "US",
            "telephone_number": "740-568-5662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N 7th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502244",
            "country_code": "US",
            "telephone_number": "740-568-5310",
            "fax_number": "740-434-0619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MUSHTAQ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "88436",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.088436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A7964",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mushtaq.ahmad@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 305",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mushtaq.ahmad@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "210 N 7th St Ste 100",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457502244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.