Maqbool Ahmad, APRN
Individual provider Active NPI Family Nurse Practitioner · Middlesboro, KY
NPI 1780442178 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1780442178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4016646 (KY)
- Practice address
- 113 Twin Acres Rd
Middlesboro, KY 40965-9440 - Phone
- (301) 401-9988
- NPI assigned
- Mar 11, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentucky Friendly Care Center Inc
Practice addresses (Care Compare)
125 W Lothbury Ave
Middlesboro, KY 40965-2881
Phone (606) 248-5322
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250325002803 | KY | Practitioner - Nurse Practitioner | 1850814336 | Reassigns benefits to 2 organizations |
| I20250722000696 | TN | Practitioner - Nurse Practitioner | 1850814336 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Friendly Care Center, Inc. | Single Specialty | Current |
Accepting new patients |
| Health Solutions LLC | Single Specialty | Past | Accepting new patients |
Locations
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
125 W Lothbury Ave
Middlesboro, KY 40965
Phone (606) 248-5322
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 4016646 | KY | Yes |
Addresses
Primary practice location
113 Twin Acres Rd
Middlesboro, KY 40965-9440
Mailing address
113 Twin Acres Rd
Middlesboro, KY 40965-9440
Phone (301) 401-9988
Other providers in Middlesboro, KY
- Amanda Slaven Abbott
- Abul Hashem MDPC
- Adult Day Health, Inc.
- Adult Day Health, Inc.
- Air Evac EMS Inc
- Rebecca L Akers
- Vincent Almagno
- Mohamad Hakam Alnahhas
- American Homepatient, Inc.
All providers in Middlesboro, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.