Individual provider Active NPI

Ahsan Iftikhar, MD

  • Family Medicine Physician
  • Loudonville, NY
National Provider Identifier
1912428673
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U8886 Issued in TX
Practice address
19 Edenfield St
Loudonville, NY 12211-1559
Phone
(518) 930-1839
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X U8886 TX Primary

Addresses

Primary practice location

19 Edenfield St
Loudonville, NY 12211-1559

Mailing address

19 Edenfield St
Albany, NY 12211-1559

Other identifiers 1

IdentifierTypeStateIssuer
470553011-00MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117003398 AZ Practitioner - Family PracticePractitioner - Hospitalist 5092145409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.28 of 100Reported as group
Quality
58.32
Promoting interoperability
100
Improvement activities
40
Cost
66.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61308AZMDFamily Medicine Physician
TEP8113NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Jan 1, 2023 Accepting new patients

Locations

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1912428673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EDENFIELD ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EDENFIELD ST",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111559",
            "telephone_number": "518-930-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFTIKHAR",
        "first_name": "AHSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U8886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470553011-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudonville, NY

Sources for this page

Verify at the official NPI Registry.