Imtiaz Ahmed, MD
Individual provider Active NPI Internal Medicine Physician · Springfield, OH
NPI 1619986155 · NPPES record last updated Sep 1, 2020
Key facts
- NPI
- 1619986155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 35061540 (OH)
- Practice address
- 211 Northparke Dr
Springfield, OH 45503-1117 - Phone
- (937) 390-1700
- Fax
- (937) 390-2471
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
211 Northparke Dr
Springfield, OH 45503-1117
Phone (937) 390-1700
Hospital & facility affiliations
- Community Mercy Home Care, LLC
- Mercy Health - West Hospital
- Springfield Regional Medical Center
- Mercy Health - Urbana Hospital
- Ohio Valley Surgical Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041122000273 | OH | Practitioner - Internal Medicine | 1658336474 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35069521 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Medical Center, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Springfield Primary Care LLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Aijaz Ahmed, M.D. | Internal Medicine | Past | Accepting new patients |
| Springfield SNF Opco LLC | Past | Accepting new patients | |
| Hospital Services Medical Group of Clark County Inc | Internal Medicine | 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
- iahmed7282@direct.bsmhealth.org
- iahmed@direct.ovsurgical.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35061540 | OH | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0828779 | Medicaid | OH |
Other providers in Springfield, OH
- Darian Agle
- Cindy Francis Ahern
- J Kevin Ahern
- Afshan H Ahmed
- Ashfaq Taj Ahmed
- Khadija L Ahmed
- Khairat Uddin Ahmed
- Munis Mahboob Ahmed
- Rukan Ahmed
- Suhail R Ahmed
All providers in Springfield, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.