NPIMap

Individual provider Active NPI

Anas Ashfaq Ahmed, MBBS

  • Pulmonary Disease Physician
  • Omaha, NE
National Provider Identifier
1629410824
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
266345 Issued in MA
Practice address
601 North 30TH St.
Cu Department of Internal Medicine
Omaha, NE 68131
Phone
(402) 280-4180
NPI assigned
Jul 29, 2013
Last updated
Jul 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7115 NE
Pulmonary Disease Physician 207RP1001X 266345 MA Primary

Addresses

Primary practice location

601 North 30TH St.
Cu Department of Internal Medicine
Omaha, NE 68131

Mailing address

800 Washington St # 257
Pulmonary, Critical Care and Sleep Division
Boston, MA 02111-1552
Phone (617) 636-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190711001073 MA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4880929959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pratt Medical Group IncGroup PAC ID 3375515661, 282 clinicians
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

Practice addresses (Care Compare)

295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 937-6000

33 Bartlett St
Suite 5
Lowell, MA 01852-1334
Phone (978) 275-1913

585 Lebanon St
Melrose, MA 02176-3225
Phone (617) 636-5000

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7115NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Medical Group, Inc Internal Medicine Current Accepting new patients
Pratt Medical Group, Inc Pulmonary Disease CurrentSince Aug 1, 2019 Accepting new patients
Hallmark Health Medical Associates Inc Internal Medicine CurrentSince Apr 17, 2020 Accepting new patients
Pratt Medical Group, Inc Past Accepting new patients
The Lowell General Hospital Past Accepting new patients
LGH Professional Services LLC Internal Medicine Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#257
Boston, MA 02111
Phone (617) 636-4432

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

425 Revere St
Revere, MA 02151
Phone (781) 286-1313

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 7

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 3

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1629410824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST # 257",
            "address_2": "PULMONARY, CRITICAL CARE AND SLEEP DIVISION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NORTH 30TH ST.",
            "address_2": "CU DEPARTMENT OF INTERNAL MEDICINE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68131",
            "telephone_number": "402-280-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ANAS",
        "middle_name": "ASHFAQ",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "7115",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "266345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.