Active NPI
Altaf Ahmed MD PA
- Physical Medicine & Rehabilitation Physician
- Las Cruces, NM
National Provider Identifier
1861473027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- ALTAF AHMED MD PA
- Practice address
- 4441 E Lohman Ave
Las Cruces, NM 88011-8267 - Phone
- (505) 400-0133
- Fax
- (575) 233-6323
- NPI assigned
- Nov 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Altaf Ahmed, MD
- Title
- Owner
- Phone
- (505) 400-0133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
4441 E Lohman Ave
Las Cruces, NM 88011-8267
Mailing address
PO Box 15009
Las Cruces, NM 88004-5009
Phone (505) 400-0133
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM009E41 | Other | NM | BC/BS OF NM |
| 14529041 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454976000000",
"number": "1861473027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15009",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880045009",
"telephone_number": "505-400-0133",
"fax_number": "575-233-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118267",
"telephone_number": "505-400-0133",
"fax_number": "575-233-6323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTAF AHMED MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-07",
"last_updated": "2016-02-09",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "ALTAF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-400-0133",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NM",
"identifier": "NM009E41",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14529041",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.