Active NPI
Babar Ahmad, MD
- Internal Medicine Physician
- Lansing, MI
National Provider Identifier
1619081684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 430163131
- Practice address
- 1540 Lake Lansing Rd
Suite 201
Lansing, MI 48912-3756 - Phone
- (517) 913-3900
- Fax
- (517) 913-3901
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 430163131 | MI | Primary |
Addresses
Primary practice location
1540 Lake Lansing Rd
Suite 201
Lansing, MI 48912-3756
Mailing address
1540 Lake Lansing Rd
Suite 201
Lansing, MI 48912-3756
Phone (517) 913-3900
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053970 | Other | MI | MCLAREN HEALTH PLAN-COMMERCIAL |
| P00801399 | Other | MI | RAILROAD MEDICARE |
| 1053970 | Other | MI | MCLAREN HEALTH PLAN-MEDICAID |
| 1053970 | Other | MI | MCLAREN HEALTH ADVANTAGE |
| 1103302481 | Other | MI | BLUE CARE NETWORK |
| 200000022161 | Other | MI | PHP |
| 1103302481 | Other | MI | BLUE CROSS BLUE SHIELD |
| 200000022161 | Other | MI | PHP FAMILYCARE |
| 5933077 | Other | MI | AETNA |
| 0M21440072 | Other | MI | MEDICARE ADVANTAGE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091028000518 | MI | Practitioner - Internal Medicine | 0042357774 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 430163131 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Family Medicine and Urgent Care | Current | Accepting new patients | |
| Physician Anesthesia Service PC | Past | Accepting new patients |
Locations
6531 W Michigan Ave
#C
Jackson, MI 49201
Phone (517) 750-3822
20820 Greenfield Rd
#2
Oak Park, MI 48237
Phone (586) 733-0334
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Owosso, MI
- NPI 1891780417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1619081684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "SUITE 201",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3900",
"fax_number": "517-913-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 LAKE LANSING RD",
"address_2": "SUITE 201",
"city": "LANSING",
"state": "MI",
"postal_code": "489123756",
"telephone_number": "517-913-3900",
"fax_number": "517-913-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "BABAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "430163131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
"identifier": "1053970",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00801399",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH PLAN-MEDICAID",
"identifier": "1053970",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH ADVANTAGE",
"identifier": "1053970",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "1103302481",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "200000022161",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1103302481",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP FAMILYCARE",
"identifier": "200000022161",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5933077",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE",
"identifier": "0M21440072",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.