Raziuddin Ahmed, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E 4483 Issued in CA

Practice address

10570 Blue Star M Hwy
South Haven, MI 49090-8923

Phone

(269) 978-3385

Fax

(269) 978-2711

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Lake Podiatry, PC

  • Foot & Ankle Surgery Podiatrist
  • South Haven, MI
  • NPI 1063449346
  NPD Authorized official
• Gentle Touch Foot Care, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Portage, MI
  • NPI 1851498117
  NPD (past) Authorized official
• Southwest Family Footcare Specialist, LLC

  • Foot & Ankle Surgery Podiatrist
  • South Haven, MI
  • NPI 1326236514
  NPD (past)
• Southwest Foot & Ankle Specialists, PC

  • Foot & Ankle Surgery Podiatrist
  • Kalamazoo, MI
  • NPI 1417908633
  NPD (past)
• Southwest Footcare Specialists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Portage, MI
  • NPI 1457596793
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1972506293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 BLUE STAR M HWY",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490908923",
            "telephone_number": "269-978-3385",
            "fax_number": "269-978-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 BLUE STAR M HWY",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490908923",
            "telephone_number": "269-978-3385",
            "fax_number": "269-978-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RAZIUDDIN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E 4483",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "RA002029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00348699",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952336",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "5802579",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Accurate Consulting LLC
• Airlink Homecare LLC
• Jasmin Alexander, BSN, RN
• Mitchel M Allard, MD
• Richard John Allen, M.D.
• Teresa Ansinn, ANP

• Podiatrist in South Haven, MI
• Providers in South Haven, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.

Verify at the official NPI Registry.