Individual provider Active NPI

Sameer Ahmed, M.D

  • Internal Medicine Physician
  • Jackson, MI
National Provider Identifier
1972725083
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301099600 Issued in MI
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2844686MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AL, IN, LA, WV, CO6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20120709000504 MI Practitioner - Internal Medicine 6406921311 Reassigns benefits to 13 organizations
I20200825003092 AL Practitioner - Hospitalist 6406921311
I20240109000892 IN Practitioner - Internal Medicine 6406921311 Reassigns benefits to 2 organizations
I20240514000473 LA Practitioner - Internal Medicine 6406921311 Reassigns benefits to 3 organizations
I20240525000468 WV Practitioner - Internal Medicine 6406921311 Reassigns benefits to 1 organization
I20260219000462 CO Practitioner - Internal MedicinePractitioner - Hospitalist 6406921311 Reassigns benefits to 1 organization

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
Hospitalist Physicians of Indiana PCGroup PAC ID 1052795986, 148 clinicians

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

LicenseStateTypeSpecialty
4301099600MIMDInternal Medicine Physician
57.010416OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
St. Michael's Internal Medicine Physicians, PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Northeast Louisiana Physicians, LLC Internal Medicine CurrentSince Apr 9, 2024 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Coolidge Physician Services LLC Hospitalist CurrentSince Feb 2, 2025 Accepting new patients
Wexford Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine CurrentSince Apr 14, 2024 Accepting new patients
W.a. Foote Memorial Hospital Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Oxford Urgent Care P L C CurrentSince Apr 11, 2012 Accepting new patients
W. a. Foote Memorial Hospital Internal Medicine Current Accepting new patients
Arkansas Valley Regional Medical Center CurrentSince Dec 23, 2025 Accepting new patients
Independent Emergency Physicians, P.C. CurrentSince Feb 1, 2016 Accepting new patients
Henry Ford Cornerstone Medical Group CurrentSince Jun 1, 2022 Accepting new patients
Apollo Family Health Services PC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Grand Traverse Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
North Michigan Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
  • FHIR API: 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.

View all 27

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.