Kirun Naseem Ahmad, D.O.
Individual provider Active NPI Internal Medicine Physician · Marion, IL
NPI 1992966873 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1992966873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036127976 (IL)
- Practice address
- 2401 West Main Street
Marion, IL 62959-1496 - Phone
- (618) 246-2910
- Fax
- (618) 246-2912
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20150123001796 | IL | Order and Referring Only - General Practice |
8224352182 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036127976 | IL | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036127976 | IL | Yes |
Addresses
Primary practice location
2401 West Main Street
Marion, IL 62959-1496
Mailing address
2401 W Main St
Marion, IL 62959-1188
Phone (618) 246-2910
Other providers in Marion, IL
- Addus Healthcare, Inc.
- Advanced Kidney Institute, L.L.C.
- Advantage Nursing Services, Inc.
- Vijay Aher
- Faisel Ahmad
- Maqbool Ahmad
- Omar Rizwan Ahmad
- Air Evac EMS Inc
- Zaid Anwar Al-Dahabrah
- Deborah O. Alcorn
All providers in Marion, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. 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.