Individual provider Active NPI

Ahmad H Assaf

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1780331702
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
5527 Merlot LN
Columbus, OH 43228-7113
Phone
(614) 615-8248
NPI assigned
Mar 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

5527 Merlot LN
Columbus, OH 43228-7113

Mailing address

5527 Merlot LN
Columbus, OH 43228-7113
Phone (614) 615-8248

Other identifiers 1

IdentifierTypeStateIssuer
301201337MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Columbus

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1780331702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 MERLOT LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432287113",
            "telephone_number": "614-615-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5527 MERLOT LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432287113",
            "telephone_number": "614-615-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSAF",
        "first_name": "AHMAD",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301201337",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Columbus",
            "affiliation": "N",
            "address_1": "5527 Merlot Ln",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432287113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.