Ali Ahmad, MD
Individual provider Active NPI Cardiovascular Disease Physician · Tiffin, OH
NPI 1780980987 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1780980987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 35121360 (OH)
- Practice address
- 45 St Lawrence Dr
Tiffin, OH 44883 - Phone
- (419) 455-7480
- Fax
- (419) 455-7482
- NPI assigned
- Feb 4, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians North Specialty Care LLC
Practice addresses (Care Compare)
45 St Lawrence Dr
Tiffin, OH 44883-8310
Phone (419) 455-8501
Hospital & facility affiliations
- Mercy Health - Tiffin Hospital
- Mercy Health - Willard Hospital
- Mercy St Vincent Medical Center
- Fostoria Community Hospital
- Ohio State University State Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130727000112 | OH | Practitioner - Internal Medicine | 8729229117 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35121360 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyandot Memorial Hospital | Current |
Accepting new patients | |
| Mercy Health Physicians North Specialty Care LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current |
Accepting new patients | |
| Wyandot Memorial Hospital | Current |
Accepting new patients | |
| Emergency and Acute Care Medical Company - Northeast, Inc. | Past | Accepting new patients |
Locations
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
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
- aahmad137196@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35121360 | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OH | |
| 35121360 | Other | OH | OH MEDICAL LICENSE |
Other providers in Tiffin, OH
- 670 Oh Opco LLC
- A Tender Touch Pediatrics LLC
- Access Wellness & Consulting LLC
- Advanced Medical Imaging Inc
- Advanced Surgical, LLC
- Mark J Akers
- Sarah A Al-Zakwani
- Jenna Catherine Alford
- Katie Lynne Alford
- Nafea Alharbi
All providers in Tiffin, OH · Cardiovascular Disease Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. 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.