Active NPI
Mahmood Ahmad, M.D
- Pain Medicine (Anesthesiology) Physician
- Anchorage, AK
National Provider Identifier
1831145929
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- E1687
- Practice address
- 4050 Lake Otis Pkwy
Suite 107
Anchorage, AK 99508-5223 - Phone
- (907) 312-1637
- Fax
- (501) 542-4295
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | E1687 | AR | Primary |
Addresses
Primary practice location
4050 Lake Otis Pkwy
Suite 107
Anchorage, AK 99508-5223
Mailing address
17901 Chenal Pkwy
Little Rock, AR 72223-5831
Phone (501) 834-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148359001 | Medicaid | AR |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1687 | AR | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Infirmary Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Sherwood, AR
- NPI 1316991847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1831145929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17901 CHENAL PKWY",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722235831",
"telephone_number": "501-834-7246",
"fax_number": "501-542-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 LAKE OTIS PKWY",
"address_2": "SUITE 107",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995085223",
"telephone_number": "907-312-1637",
"fax_number": "501-542-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "MAHMOOD",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AR",
"license": "E1687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148359001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.