Individual provider Active NPI

Amir Zia, M.D.

  • Neurology Physician
  • Bowling Green, KY
National Provider Identifier
1952452583
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
38494 Issued in KY
Practice address
996 Wilkinson Terrace Suite a-7
Bowling Green, KY 42103-3408
Phone
(469) 414-0131
Fax
(469) 839-3005
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 38494 KY Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 38494 KY

Addresses

Primary practice location

996 Wilkinson Terrace Suite a-7
Bowling Green, KY 42103-3408

Mailing address

996 Wilkinson Terrace Suite a-7
Bowling Green, KY 42103-3408
Phone (469) 414-0131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040426000962 KY Practitioner - NeurologyPractitioner - Neuropsychiatry 1557358363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38494KYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zia Neurology LLC Neurology CurrentSince Dec 18, 2024 Accepting new patients

Locations

996 Wilkinson Trce
Ste A7
Bowling Green, KY 42103
Phone (469) 414-0131

Organizations & group practices 1

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1952452583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TERRACE SUITE A-7",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033408",
            "telephone_number": "469-414-0131",
            "fax_number": "469-839-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 WILKINSON TERRACE SUITE A-7",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421033408",
            "telephone_number": "469-414-0131",
            "fax_number": "469-839-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIA",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "38494",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "KY",
            "license": "38494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.