Active NPI
Iftikhar Ahmed, M.D.
- Dermatopathology (Pathology) Physician
- Phoenix, AZ
National Provider Identifier
1851376305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- 25050
- Practice address
- 14019 S 8TH St
Phoenix, AZ 85048-4459 - Phone
- (480) 668-3737
- NPI assigned
- Dec 7, 2005
- Last updated
- Sep 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 36212 | MN | |
| Dermatopathology Physician | 207ND0900X | 25050 | AZ | |
| Dermatopathology Physician | 207ND0900X | 176536-1205 | UT | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 25050 | AZ | Primary |
Addresses
Primary practice location
14019 S 8TH St
Phoenix, AZ 85048-4459
Mailing address
14019 S 8TH St
Phoenix, AZ 85048-4459
Phone (480) 668-3737
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069817200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
600 S Dobson Rd
D31 D35
Chandler, AZ 85224-5694
Phone (541) 816-1049
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.76 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.19
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 147 |
| Skin biopsy | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36212 | MN | MD | Dermatopathology Physician |
| 176536-1205 | UT | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brannata Wellness LLC | Current | Accepting new patients | |
| Willamette Valley Toxicology | Past | Accepting new patients |
Locations
545 SW 2nd St
Ste 201
Corvallis, OR 97333
Phone (541) 760-4775
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00332
Organizations & group practices 3
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.
-
- Dermatology Physician
- Chandler, AZ
- NPI 1033977830
-
- Specialist
- Phoenix, AZ
- NPI 1194953810
-
- Clinical Medical Laboratory
- Corvallis, OR
- NPI 1053652594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1851376305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14019 S 8TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850484459",
"telephone_number": "480-668-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14019 S 8TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850484459",
"telephone_number": "480-668-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "IFTIKHAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "MN",
"license": "36212",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AZ",
"license": "25050",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "UT",
"license": "176536-1205",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "AZ",
"license": "25050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069817200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.