NPIMap

Individual provider Active NPI

Imtiaz Ahmed, MD

  • Internal Medicine Physician
  • Springfield, OH
National Provider Identifier
1619986155
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35061540 Issued in OH
Practice address
211 Northparke Dr
Springfield, OH 45503-1117
Phone
(937) 390-1700
Fax
(937) 390-2471
NPI assigned
Aug 5, 2006
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35061540 OH Primary

Addresses

Primary practice location

211 Northparke Dr
Springfield, OH 45503-1117

Mailing address

211 Northparke Dr
Springfield, OH 45503-1117
Phone (937) 390-1700

Other practice location 1

2131 North Limestone
Springfield, OH 45503
Phone (437) 342-9160

Other identifiers 1

IdentifierTypeStateIssuer
0828779MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20041122000273 OH Practitioner - Internal Medicine 1658336474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Springfield Primary Care LLCGroup PAC ID 7315361359, 37 clinicians

Practice addresses (Care Compare)

211 Northparke Dr
Springfield, OH 45503-1117
Phone (937) 390-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069521OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Springfield Primary Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Aijaz Ahmed, M.D. Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Hospital Services Medical Group of Clark County Inc Internal Medicine Past Accepting new patients
Springfield SNF Opco LLC Past Accepting new patients

Locations

211 Northparke Dr
Springfield, OH 45503
Phone (937) 390-1700

900 Scioto St
Ste 4
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: iahmed@direct.ovsurgical.com
  • Direct secure messaging: iahmed7282@direct.bsmhealth.org

Organizations & group practices 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1619986155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NORTHPARKE DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031117",
            "telephone_number": "937-390-1700",
            "fax_number": "937-390-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NORTHPARKE DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031117",
            "telephone_number": "937-390-1700",
            "fax_number": "937-390-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 North Limestone",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "45503",
            "country_code": "US",
            "telephone_number": "437-342-9160",
            "fax_number": "937-342-9159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "IMTIAZ",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35061540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0828779",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.