Active NPI
Ansar H Ahmed, MBBS
- Neurology Physician
- Minneapolis, MN
National Provider Identifier
1508830779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 32943
- Practice address
- 2220 Riverside Ave S
Mail Stop 31700a
Minneapolis, MN 55454-1321 - Phone
- (612) 371-1600
- Fax
- (612) 371-1732
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 32943 | MN | Primary |
Addresses
Primary practice location
2220 Riverside Ave S
Mail Stop 31700a
Minneapolis, MN 55454-1321
Mailing address
8100 34TH Ave S
21110Q
Bloomington, MN 55425-1672
Phone (952) 883-7961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201372000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32943 | MN | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1508830779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 34TH AVE S",
"address_2": "21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251672",
"telephone_number": "952-883-7961",
"fax_number": "952-883-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 RIVERSIDE AVE S",
"address_2": "MAIL STOP 31700A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541321",
"telephone_number": "612-371-1600",
"fax_number": "612-371-1732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "ANSAR",
"middle_name": "H",
"credential": "MBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "32943",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201372000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.