Active NPI
Bisma Ahsan, MD
- Internal Medicine Physician
- Poplar Bluff, MO
National Provider Identifier
1932803483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2026031619
- Practice address
- 3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573 - Phone
- (573) 776-2000
- NPI assigned
- Mar 29, 2023
- Last updated
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 2026031619 | MO | Primary |
Addresses
Primary practice location
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Mailing address
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- bisma.ahsan.1@8825.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1932803483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 OAK GROVE RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011573",
"telephone_number": "573-776-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OAK GROVE RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011573",
"telephone_number": "573-776-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHSAN",
"first_name": "BISMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-29",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2026031619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
- Advanced Healthcare Management Services, LLC (Advanced Healthcare Pharmacy I)
- Advanced Healthcare Surgical Center, LLC
- Advanced Pharmacy
- Advanced Therapy Services, LLC
- Muhammad Saad Ahmad, MD
- Air Evac EMS Inc
- Air Evac EMS Inc (Air Evac Lifeteam)
- Donna D Akers, FNP-C
- Tirso J Aldana, M.D.
- Kristen M Alexander-Frey, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.