Individual provider Active NPI

Mohammed Aqueel Ahmed, MD

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1740225796
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4693 Issued in TX
Practice address
189 Courts LN
Little Rock, AR 72223-9018
Phone
(501) 821-7727
NPI assigned
Jun 16, 2006
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-4351 AR
Family Medicine Physician 207Q00000X M4693 TX Primary

Addresses

Primary practice location

189 Courts LN
Little Rock, AR 72223-9018

Mailing address

189 Courts LN
Little Rock, AR 72223-9018
Phone (501) 821-7727

Other identifiers 1

IdentifierTypeStateIssuer
158794001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051220000975 AR Practitioner - Family PracticePractitioner - Emergency Medicine 0547282402 Reassigns benefits to 3 organizations
I20200818003700 TX Practitioner - Family Practice 0547282402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medcare IncGroup PAC ID 5698667624, 53 clinicians
Q Day Walk in Clinic and Spa LLCGroup PAC ID 7012333289, 4 clinicians

Practice addresses (Care Compare)

3050 Twin Rivers Dr
Arkadelphia, AR 71923-4218
Phone (501) 202-2300

3560 E Park Blvd
Plano, TX 75074-3111
Phone (972) 424-0579

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4351ARMDEmergency Medicine Physician
M4693TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Q Day Walk in Clinic and Spa, LLC Family Medicine CurrentSince Sep 25, 2020 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
American Hope and Health Clinic Associates LLC CurrentSince Jan 1, 2021 Accepting new patients
Baptist Medcare, Inc Emergency Medicine CurrentSince May 18, 2023 Accepting new patients
Mabelvale Community Emergency Physicians Emergency Medicine Past Accepting new patients
Jacksonville Emergency Medicine LLC Emergency Medicine Past Accepting new patients
Hope-Hempstead Emegency Group LLC Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians of Arkansas PA Emergency Medicine Past Accepting new patients
Petit Jean Emergency Physicians Emergency Medicine Past Accepting new patients
Triage Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

1800 By Pass Rd
Heber Springs, AR 72543
Phone (501) 728-4535

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1001 Schneider Dr
Malvern, AR 72104
Phone (501) 332-1000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

3560 E Park Blvd
Plano, TX 75074
Phone (972) 424-0579

Organizations & group practices 10

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 2

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1740225796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 COURTS LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239018",
            "telephone_number": "501-821-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 COURTS LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239018",
            "telephone_number": "501-821-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMMED",
        "middle_name": "AQUEEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-4351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158794001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.