Mohammad Afzal Mian, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

22242 Issued in KY

Practice address

8521 La Grange Rd
Louisville, KY 40242-3800

Phone

(502) 817-0927

Fax

(502) 805-0690

NPI assigned

Sep 5, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Psychiatry

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Wellstone Regional Hospital Acquisition LLC

  • Community/Behavioral Health Agency
  • Jeffersonville, IN
  • NPI 1194864843
  Medicare reassignment NPD
• Kentuckiana Psychotherapy Associates

  • Clinical Social Worker
  • Louisville, KY
  • NPI 1386743037
  NPD Authorized official
• Mohammad a. Mian, MD PSC

  dba Kentuckiana Psychotherapy Associates

  • Specialist
  • Louisville, KY
  • NPI 1639399249

  IN

  Medicare reassignment
• Wellstone Regional Hospital Acquisition LLC

  dba Wellstone Regional Hospital

  • Psychiatric Hospital
  • Jeffersonville, IN
  • NPI 1841215985
  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1881796183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-817-0927",
            "fax_number": "502-805-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8521 LA GRANGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402423800",
            "telephone_number": "502-817-0927",
            "fax_number": "502-805-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "MOHAMMAD",
        "middle_name": "AFZAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "22242",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01037543A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64222425",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeff Mezzone
• MFDC of Indiana, Inc
• MG Chiropractic (Alliance Chiropractic)
• Gusoon Mhesin
• MHJM Counseling LLC
• Sarwat Nadeem Mian, M.D.
• Seema Mian
• Zoha Mian
• Ross F Micciche, MD
• Michael a Barnett

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.