Active NPI
Shafik Ahmad, M.D.
- Family Medicine Physician
- Huber Heights, OH
National Provider Identifier
1649335571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35072585A
- Practice address
- 6750 Brandt Pike
Suite 3
Huber Heights, OH 45424-3477 - Phone
- (937) 235-6331
- Fax
- (937) 235-6337
- NPI assigned
- Dec 22, 2006
- Last updated
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35072585A | OH | Primary |
Addresses
Primary practice location
6750 Brandt Pike
Suite 3
Huber Heights, OH 45424-3477
Mailing address
PO Box 24009
Huber Heights, OH 45424-0009
Phone (937) 235-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2089216 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35072585A | OH | MD | Family Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shafik Ahmad, MD
- Family Medicine Physician
- Huber Heights, OH
- NPI 1487696027
-
- Family Medicine Physician
- Huber Heights, OH
- NPI 1720289432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1649335571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24009",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454240009",
"telephone_number": "937-235-6331",
"fax_number": "937-235-6337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 BRANDT PIKE",
"address_2": "SUITE 3",
"city": "HUBER HEIGHTS",
"state": "OH",
"postal_code": "454243477",
"telephone_number": "937-235-6331",
"fax_number": "937-235-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "SHAFIK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35072585A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2089216",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huber Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.