NPIMap

Individual provider Active NPI

Sarfraz R Ahmad, MD

  • Pulmonary Disease Physician
  • Greenwood, IN
National Provider Identifier
1689850422
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01075158A Issued in IN
Practice address
701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072
Phone
(317) 885-2860
Fax
(317) 885-8269
NPI assigned
Jan 10, 2008
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 01075158A IN Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 01075158A IN

Addresses

Primary practice location

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072

Mailing address

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1072
Phone (317) 885-2860

Other identifiers 1

IdentifierTypeStateIssuer
201300650MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct.indianainternalmedicine@ccme.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20150611000388 IN Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 9537249313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine, Sleep Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 7012067697, 113 clinicians
Indiana Internal Medicine Consultants LLCGroup PAC ID 7911899489, 43 clinicians

Practice addresses (Care Compare)

701 E County Line Rd
Suite 101
Greenwood, IN 46143-1070
Phone (317) 885-2860

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince May 6, 2015 Accepting new patients
St. Francis Medical Group, LLC Pulmonary Disease CurrentSince May 6, 2015 Accepting new patients
Indiana Internal Medicine Consultants, LLC. Pulmonary Disease CurrentSince May 6, 2015 Accepting new patients
Major Hospital Past Accepting new patients
St. Francis Hospital and Health Centers Past Accepting new patients

Locations

701 E County Line Rd
Ste 101
Greenwood, IN 46143
Phone (317) 885-2860

1201 Hadley Rd
Mooresville, IN 46158
Phone (317) 783-8148

Interoperability endpoints

  • Direct secure messaging: direct.indianainternalmedicine@ccme.com
  • Direct secure messaging: sahmad198163@direct.franciscanalliance.org

Organizations & group practices 5

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 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": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1689850422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-885-2860",
            "fax_number": "317-885-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E COUNTY LINE RD",
            "address_2": "SUITE 101",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431072",
            "telephone_number": "317-885-2860",
            "fax_number": "317-885-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SARFRAZ",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-10",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01075158A",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IN",
            "license": "01075158A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201300650",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct.indianainternalmedicine@ccme.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "701 E County Line Rd",
            "address_2": "Suite 101",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461431072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.