Fuad Shihab Ahmad, APNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

2898 Issued in WI

Practice address

6430 Greenbay Rd
Suite 104
Kenosha, WI 53142-2948

Phone

(262) 925-0535

Fax

(262) 925-0538

NPI assigned

Aug 30, 2006

Last updated

Apr 27, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Kenosha Urgicare

  • Urgent Care Clinic/Center
  • Kenosha, WI
  • NPI 1629373204
  Medicare reassignment NPD Authorized official
• MCMC Urgicare LLC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1134238017
  Medicare reassignment NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1871602896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 N LAKE DR",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111721",
            "telephone_number": "414-962-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 GREENBAY RD",
            "address_2": "SUITE 104",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422948",
            "telephone_number": "262-925-0535",
            "fax_number": "262-925-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "FUAD",
        "middle_name": "SHIHAB",
        "name_prefix": "Mr.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advent DME LLC
• Aftab a Ansari, M.D., S.C.
• John M Agaiby, MD
• Agape Home Care Inc. (Home Helpers)
• Marybell Aguilar
• Imran Ahmed Moinuddin, MD
• Dyson J Ahola
• Eric M. Ahonen, ATC
• Ahp 006 LLC (Maritato Dental)
• Nancy Aiello, NP

• Acute Care Nurse Practitioner in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Acute Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.