Sufian Ahmad, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

48695 Issued in KY

Practice address

151 Drexler Cir Ste 1
Elizabethtown, KY 42701-7843

Phone

(270) 506-2730

Fax

(270) 900-0704

NPI assigned

Jun 25, 2012

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, IN2 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

Specialty

Psychiatry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Kmi Acquisition LLCGroup PAC ID 8628155892, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Astra Behavioral Health LLC

  • Psychiatry Physician
  • Elizabethtown, KY
  • NPI 1922427517
  Medicare reassignment Care Compare group NPD
• Kmi Acquisition LLC

  dba The Brook Hospital KMI

  • Psychiatric Hospital
  • Louisville, KY
  • NPI 1104097021

  Psychiatry

  Medicare reassignment Care Compare group NPD
• TBD Acquisition, LLC

  dba The Brook Hospital Dupont

  • Psychiatric Hospital
  • Louisville, KY
  • NPI 1275953754
  Medicare reassignment NPD
• United Healthcare of Hardin, Inc

  dba Lincoln Trail Behavioral Health System

  • Clinical Social Worker
  • Radcliff, KY
  • NPI 1851500466
  Medicare reassignment NPD
• Wellstone Regional Hospital Acquisition LLC

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1194864843
  Medicare reassignment NPD
• Medsavvy Solutions LLC

  • Psychiatry Physician
  • Jeffersonville, IN
  • NPI 1528801537
  NPD Authorized official
• Kmi Acquisition LLC

  dba The Brook Hospital KMI

  • Psychiatry Physician
  • Louisville, KY
  • NPI 1073194585
  NPD
• Wellstone Regional Hospital Acquisition LLC

  dba Wellstone Regional Hospital

  • Psychiatric Hospital
  • Jeffersonville, IN
  • NPI 1841215985

  Psychiatry

  NPD
• Better Health Consultants, LLC

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1417542762
  NPD (past)
• United Healthcare of Hardin, Inc.

  dba Lincoln Trail Behavioral Health System

  • Psychiatric Hospital
  • Radcliff, KY
  • NPI 1518964345

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1821352824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 DREXLER CIR STE 1",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DREXLER CIR STE 1",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017843",
            "telephone_number": "270-506-2730",
            "fax_number": "270-900-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SUFIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "48695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100250610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Surgical Associates of Kentucky PSC
• Advocacy & Support Center
• Affordable Dentures & Implants - Kentucky, PLLC
• Affordable Hearing AIDS
• Agilitas USA, Inc (Results Physiotherapy)
• Ayaz Ahmed, M.D.
• Maaz Ahmed
• Syed Ahmed, DPM
• Syed Zulfiqar Ahmed, MD
• Aigne Mental Wellness

• Psychiatry Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.