Mirza N Ahmad, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

35037323A Issued in OH

Practice address

4782 Munson St NW
Canton, OH 44718

Phone

(330) 497-0817

Fax

(330) 497-0819

NPI assigned

Oct 6, 2006

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Other, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aultman HospitalGroup PAC ID 3779485867, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Aultman Hospital

  • Specialist
  • Canton, OH
  • NPI 1619911054
  Medicare reassignment Care Compare group NPD
• Mirza N. Ahmad, M.D., Inc.

  • Plastic and Reconstructive Surgery Physician
  • Canton, OH
  • NPI 1902367345
  Medicare reassignment NPD Authorized official
• Aultman Hospital

  dba Aultman Employee Pharmacy

  • Community/Retail Pharmacy
  • Canton, OH
  • NPI 1700941978
  NPD
• Aultman Hospital

  dba Aultman Hospital Rehab

  • Rehabilitation Hospital Unit
  • Canton, OH
  • NPI 1740222009
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1639266174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-497-0817",
            "fax_number": "330-497-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4782 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-497-0817",
            "fax_number": "330-497-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MIRZA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35037323A",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "OH",
            "license": "35037323A",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35037323A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0255325",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agapaehealthcareservice , LLC
• Aging Gracefully Home Care LLC
• Jenna Agnone, CT
• Eric Osei Agyare
• Ans Ahmad, MD
• Shameem Ahmad
• Maryam Ahmed, MD
• Omer Khaleel Ahmed, M.D.
• Saba Ahmed, M.D.
• Waheeb Ahmed, MD

• Plastic and Reconstructive Surgery Physician in Canton, OH
• Providers in Canton, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.