NPIMap

Individual provider Active NPI

Mushtaque Ahmed, MD

  • Internal Medicine Physician
  • Humble, TX
National Provider Identifier
1689843518
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T2305 Issued in TX
Practice address
18652 McKay Dr Ste 100
Humble, TX 77338-5727
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Feb 25, 2008
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 31740 KY
Internal Medicine Physician 207R00000X T2305 TX Primary

Addresses

Primary practice location

18652 McKay Dr Ste 100
Humble, TX 77338-5727

Mailing address

PO Box 392929
Pittsburgh, PA 15251-9900
Phone (713) 461-2915

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mushtaque.ahmed.1@13711.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220325001403 TX Practitioner - Internal Medicine 3476745217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

18652 McKay Dr
Humble, TX 77338-5726
Phone (281) 446-1520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2305TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Apogee Medical Group Kentucky PSC CurrentSince Jun 26, 2013 Accepting new patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Villagemd of Southeast Texas, PA Internal Medicine CurrentSince Feb 8, 2023 Accepting new patients

Locations

1 Trillium Way
#5
Corbin, KY 40701
Phone (606) 451-2994

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

18652 McKay Dr
Humble, TX 77338
Phone (281) 446-1014

18652 McKay Dr
Ste 100
Humble, TX 77338
Phone (281) 319-8300

11619 Shadow Creek Pkwy
#110
Pearland, TX 77584
Phone (346) 646-3481

Interoperability endpoints

  • Direct secure messaging: mushtaque.ahmed.1@13711.direct.athenahealth.com

Organizations & group practices 4

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 8

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1689843518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18652 MCKAY DR STE 100",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385727",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MUSHTAQUE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "31740",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mushtaque.ahmed.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "18652 McKay Dr Ste 100",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773385727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.