NPIMap

Individual provider Active NPI

Ali Ahmad, MD

  • Cardiovascular Disease Physician
  • Tiffin, OH
National Provider Identifier
1780980987
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35121360 Issued in OH
Practice address
45 St Lawrence Dr
Tiffin, OH 44883
Phone
(419) 455-7480
Fax
(419) 455-7482
NPI assigned
Feb 4, 2011
Last updated
May 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35121360 OH Primary

Addresses

Primary practice location

45 St Lawrence Dr
Tiffin, OH 44883

Mailing address

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130727000112 OH Practitioner - Internal Medicine 8729229117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35121360OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Wyandot Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Wyandot Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Emergency and Acute Care Medical Company - Northeast, Inc. Past Accepting new patients

Locations

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991

1100 Neal Zick Rd
Fl 2
Willard, OH 44890

Interoperability endpoints

  • Direct secure messaging: aahmad137196@direct.bsmhealth.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 7

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1780980987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838310",
            "telephone_number": "419-455-7480",
            "fax_number": "419-455-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "44883",
            "telephone_number": "419-455-7480",
            "fax_number": "419-455-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-04",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35121360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.