NPIMap

Individual provider Active NPI

Ahmad Agha, M.B.B.S.

  • Cardiovascular Disease Physician
  • Biloxi, MS
National Provider Identifier
1730520768
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27425 Issued in MS
Practice address
1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135
Phone
(228) 392-7429
Fax
(228) 396-3830
NPI assigned
Jul 5, 2013
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 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 125.063414 IL
Cardiovascular Disease Physician 207RC0000X 27425 MS Primary

Addresses

Primary practice location

1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135

Mailing address

1720A Medical Park Dr Ste 150
Biloxi, MS 39532-2135
Phone (228) 392-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200612000590 MS Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7517268212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singing River Health SystemGroup PAC ID 3870405194, 290 clinicians

Practice addresses (Care Compare)

1721 Medical Park Dr
Biloxi, MS 39532-2109
Phone (228) 392-7429

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.063414ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Apr 1, 2023 Accepting new patients
Singing River Health System Internal Medicine Past Accepting new patients

Locations

1720A Medical Park Dr
Ste 150
Biloxi, MS 39532
Phone (228) 392-7429

1721 Medical Park Dr
Ste 200
Biloxi, MS 39532
Phone (228) 248-2572

2 Doctors Dr
Ocean Springs, MS 39564
Phone (228) 372-8270

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.

Hospital & facility affiliations 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1730520768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 150",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322135",
            "telephone_number": "228-392-7429",
            "fax_number": "228-396-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 150",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322135",
            "telephone_number": "228-392-7429",
            "fax_number": "228-396-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHA",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.063414",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "27425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.