Ammar Naser Al Heyasat, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Huntsville, AL
NPI 1972291920 · NPPES record last updated Feb 29, 2024
Key facts
- NPI
- 1972291920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Hospital Drive Southwest
Huntsville, AL 35801 - Phone
- (938) 227-6247
- NPI assigned
- Apr 27, 2023
- Reactivated
- Feb 29, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260413001678 | AL | Order and Referring Only - Internal Medicine |
1759856248 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ammar.al.heyasat.1@3038.direct.athenahealth.com
- ammar.al.heyasat.2@3038.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Hospital Drive Southwest
Huntsville, AL 35801
Mailing address
Behind Civil Defence Main Branch Opposite Umniah Main O
Abdul Rahim Al-Waked Street Building #27
Al Shumaysan Amman, AMMAN 11194
JO
Other providers in Huntsville, AL
- Rosemary Nneka Akano-Azunda
- Robert Beaumont Akenhead
- Anna Bostick Akin
- Marianne Danielle Akins
- Al Care First Inc
- Zaid Al-Rufaye
- Alabama a&M University
- Alabama a&M University
- Alabama Anesthesia of Huntsville LLC
- Alabama Asthma, Allergy & Immunology Center, P.C.
All providers in Huntsville, AL · Student in an Organized Health Care Education/Training Program in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.