Individual provider Active NPI

Raffat Tahira Ahmad, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1669760393
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0081030 Issued in MD
Practice address
1150 Varnum St NE
Washington, DC 20017
Phone
(301) 614-0595
NPI assigned
Jul 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301099078 MI
Diagnostic Radiology Physician 2085R0202X MD045721 DC
Diagnostic Radiology Physician 2085R0202X 4301099078 MI
Diagnostic Radiology Physician 2085R0202X D0081030 MD Primary

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017

Mailing address

1123 State Route 3 N # 148
Gambrills, MD 21054-1715
Phone (301) 614-0595

Other practice location 1

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other identifiers 1

IdentifierTypeStateIssuer
841113100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160728001388 MD Practitioner - Diagnostic Radiology 6204129299 Reassigns benefits to 1 organization
I20171107002499 MI Practitioner - Diagnostic Radiology 6204129299 Reassigns benefits to 6 organizations
I20231114002924 TN Practitioner - Diagnostic Radiology 6204129299 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PC 449 clinicians
Adi Radiology PC 153 clinicians
Crouse Radiology Associates LLP 105 clinicians
Medical Imaging Center LLP 38 clinicians
Together Women'S Health Medical Group, P.C. 74 clinicians

Practice addresses (Care Compare)

210 25TH Ave N
Suite 1204
Nashville, TN 37203-1620
Phone (615) 312-0600

2253 Chambliss Ave NW
Suite 102
Cleveland, TN 37311-3963
Phone (615) 312-0600

28 White Bridge Rd
Nashville, TN 37205-1466
Phone (615) 356-3999

3252 Woodview Lake Rd
West Bloomfield, MI 48323-3570
Phone (315) 234-7608

336 N Main St
Royal Oak, MI 48067-4121
Phone (248) 572-3316

850 Chalkstone LN
Mt Juliet, TN 37122-0628
Phone (904) 339-5550

Hospital & facility affiliations

  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301099078MIMDInternal Medicine Physician
MD045721DCMDDiagnostic Radiology Physician
D0081030MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Henry Ford Health System CurrentSince Sep 18, 2017 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Nov 14, 2025 Accepting new patients
Henry Ford Health System Diagnostic Radiology CurrentSince Sep 18, 2017 Accepting new patients
Lebanon Pet Scan Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Nov 24, 2025 Accepting new patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jun 15, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 2, 2023 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients
Henry Ford Health System Current Accepting new patients
Imaging Alliance Nashville Pet LLC CurrentSince Jan 1, 2024 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Nov 24, 2025 Accepting new patients
Medical Imaging Center LLP CurrentSince Jun 15, 2025 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients

Locations (25 of 35)

1120 20th St NW
Washington, DC 20036
Phone (202) 416-2000

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

103 Physicians Way
Ste 100
Lebanon, TN 37090
Phone (615) 443-7436

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

330 23rd Ave N
Ste 200
Nashville, TN 37203

2221 Murphy Ave
Nashville, TN 37203
Phone (615) 324-2192

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 5

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1669760393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 STATE ROUTE 3 N # 148",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541715",
            "telephone_number": "301-614-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20017",
            "telephone_number": "301-614-0595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24035 Three Notch Rd",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "MD",
            "postal_code": "206364871",
            "country_code": "US",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "RAFFAT",
        "middle_name": "TAHIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301099078",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD045721",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301099078",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0081030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841113100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.