NPIMap

Individual provider Active NPI

Omar Imtiaz Ahmad, M.D.

  • Neurology Physician
  • Taylor, MI
National Provider Identifier
1568623643
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301092682 Issued in MI
Practice address
11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862
Phone
(734) 374-1112
Fax
(734) 374-1119
NPI assigned
Jun 20, 2008
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301092682 MI Primary

Addresses

Primary practice location

11780 Telegraph Rd Ste 100
Taylor, MI 48180-6862

Mailing address

PO Box 86
Taylor, MI 48180-0001
Phone (734) 374-1112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130109000619 MI Practitioner - Neurology 2567615123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neuroscience Clinic PLLCGroup PAC ID 8820227945, 6 clinicians

Practice addresses (Care Compare)

730 N Macomb St
Monroe, MI 48162-2904
Phone (734) 374-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
67.12
Improvement activities
40
Cost
88.53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neuroscience Clinic PLLC Neurology CurrentSince Nov 1, 2013 Accepting new patients

Locations

730 N Macomb St
Ste 300
Monroe, MI 48162
Phone (734) 235-5296

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

11780 Telegraph Rd
Ste 100
Taylor, MI 48180
Phone (734) 374-1112

12701 Telegraph Rd
Ste 210
Taylor, MI 48180
Phone (734) 251-3432

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAICA
  • Direct secure messaging: oahmad8894@direct.hfhs.org

Organizations & group practices 1

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 7

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1568623643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481800001",
            "telephone_number": "734-374-1112",
            "fax_number": "734-374-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 TELEGRAPH RD STE 100",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806862",
            "telephone_number": "734-374-1112",
            "fax_number": "734-374-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "OMAR",
        "middle_name": "IMTIAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301092682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.