Individual provider Active NPI

Ammar Naser Al Heyasat, MD

  • Student in an Organized Health Care Education/Training Program
  • Huntsville, AL
National Provider Identifier
1972291920
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1 Hospital Drive Southwest
Huntsville, AL 35801
Phone
(938) 227-6247
NPI assigned
Apr 27, 2023
Reactivated
Feb 29, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20260413001678 AL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1759856248

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ammar.al.heyasat.1@3038.direct.athenahealth.com
  • Direct secure messaging: ammar.al.heyasat.2@3038.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1972291920",
    "addresses": [
        {
            "country_code": "JO",
            "country_name": "Jordan",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "BEHIND CIVIL DEFENCE MAIN BRANCH OPPOSITE UMNIAH MAIN O",
            "address_2": "ABDUL RAHIM AL-WAKED STREET BUILDING #27",
            "city": "AL SHUMAYSAN AMMAN",
            "state": "AMMAN",
            "postal_code": "11194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE SOUTHWEST",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "938-227-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL HEYASAT",
        "first_name": "AMMAR",
        "middle_name": "NASER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-02-29",
        "certification_date": "2023-04-27",
        "deactivation_date": "2023-11-30",
        "reactivation_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.