NPIMap

Individual provider Active NPI

Asad G. Ehtesham, M.D.

  • Specialist
  • Lynchburg, VA
National Provider Identifier
1508833591
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101232833 Issued in VA
Practice address
2091 Langhorne Rd
Lynchburg, VA 24501-1428
Phone
(434) 947-3954
Fax
(877) 583-4046
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101232833 VA Primary

Addresses

Primary practice location

2091 Langhorne Rd
Lynchburg, VA 24501-1428

Mailing address

141 Beacon Hill PL
Lynchburg, VA 24503-4127
Phone (434) 947-3954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100421000313 VA Practitioner - Nephrology 6507993664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Virginia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lynchburg Nephrology Physicians PLLCGroup PAC ID 1355313610, 13 clinicians

Practice addresses (Care Compare)

2091 Langhorne Rd
Lynchburg, VA 24501-1428
Phone (434) 947-3954

Hospital & facility affiliations

  • Uva Amherst Dialysis Dialysis facility, Amherst, VA, CCN 493512
  • DaVita Chatham Dialysis Dialysis facility, Chatham, VA, CCN 492726
  • DaVita Lynchburg Home Training PD Dialysis facility, Lynchburg, VA, CCN 492667
  • Uva Lynchburg Dialysis Dialysis facility, Lynchburg, VA, CCN 493513
  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Clinic, PLLC Past Accepting new patients
Jenkins Healthcare Company Inc Past Accepting new patients
Ghazala Quddus, M.D., Inc. Past Accepting new patients
Jenkins Community Hospital Dba Jenkins Community Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: asad.ehtesham.1@31349.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1508833591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BEACON HILL PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245034127",
            "telephone_number": "434-947-3954",
            "fax_number": "434-947-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011428",
            "telephone_number": "434-947-3954",
            "fax_number": "877-583-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTESHAM",
        "first_name": "ASAD",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101232833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.