Active NPI
Sameer Ahmed, M.D
- Internal Medicine Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301099600
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4946
- Fax
- (517) 205-7828
- NPI assigned
- May 2, 2007
- Last updated
- May 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301099600 | MI | Primary |
| Internal Medicine Physician | 207R00000X | 57.010416 | OH | |
| Internal Medicine Physician | 207R00000X | 036159323 | IL | |
| Hospitalist Physician | 208M00000X | 036159323 | IL |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801
Phone (248) 952-1601
Other practice location 1
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone (419) 824-5540
Other practice location 2
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (844) 740-4445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2844686 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AL, IN, LA, WV, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 E Dupont Rd
Dupont Hospital
Fort Wayne, IN 46825-1675
Phone (260) 416-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099600 | MI | MD | Internal Medicine Physician |
| 57.010416 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians-Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Indiana PC | Internal Medicine | Current | Accepting new patients |
| St. Michael's Internal Medicine Physicians, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Physicians of Indiana, PC | Internal Medicine | Current | Accepting new patients |
| Otsego Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Sound Inpatient Physicians - Michigan, PLLC | Internal Medicine | Current | Accepting new patients |
| Northeast Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Central Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital | Current | Accepting new patients | |
| Coolidge Physician Services LLC | Hospitalist | Current | Accepting new patients |
| Wexford Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Internal Medicine | Current | Accepting new patients |
| W.a. Foote Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Oxford Urgent Care P L C | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital | Internal Medicine | Current | Accepting new patients |
| Arkansas Valley Regional Medical Center | Current | Accepting new patients | |
| Independent Emergency Physicians, P.C. | Current | Accepting new patients | |
| Henry Ford Cornerstone Medical Group | Current | Accepting new patients | |
| Apollo Family Health Services PC | Internal Medicine | Current | Accepting new patients |
| Grand Traverse Physician Services PC | Internal Medicine | Current | Accepting new patients |
| North Michigan Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Lafayette General Medical Center Inc | Past | Accepting new patients | |
| Inpatient Consultants of Ohio, Inc | Internal Medicine | Past | Accepting new patients |
| Mercy Hospital of Devils Lake | Past | Accepting new patients |
Locations (25 of 31)
1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
5823 Middlebelt Rd
Garden City, MI 48135
Phone (734) 421-6333
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500
1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
- https://fhir4.healow.com/fhir/r4/CFHEBA
Organizations & group practices 27
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Fort Wayne, IN
- NPI 1306576277
Internal Medicine
-
- Hospitalist Physician
- Traverse City, MI
- NPI 1932913217
Internal Medicine
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
-
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
- NPI 1780791343
-
- Hospitalist Physician
- Charlevoix, MI
- NPI 1972314821
Internal Medicine
-
- Internal Medicine Physician
- Gaylord, MI
- NPI 1346054236
-
- Specialist
- Oxford, MI
- NPI 1700036936
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Internal Medicine Physician
- West Bloomfield, MI
- NPI 1205318722
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
- Internal Medicine Physician
- Goshen, IN
- NPI 1093973885
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- La Junta, CO
- NPI 1760489470
-
- Critical Access Hospital
- Houlton, ME
- NPI 1508823741
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652054400000",
"number": "1972725083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CROOKS RD",
"address_2": "STE. 130",
"city": "TROY",
"state": "MI",
"postal_code": "480985801",
"telephone_number": "248-952-1601",
"fax_number": "248-952-1614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-4946",
"fax_number": "517-205-7828"
}
],
"practiceLocations": [
{
"address_1": "5200 Harroun Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "OH",
"postal_code": "435602168",
"country_code": "US",
"telephone_number": "419-824-5540",
"fax_number": "419-882-7028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20201 Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611010",
"country_code": "US",
"telephone_number": "844-740-4445",
"fax_number": "708-679-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "SAMEER",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2022-05-09",
"certification_date": "2022-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301099600",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.010416",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036159323",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036159323",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2844686",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.