AHMAD MAHMOUD ALKASHASH – Anatomic Pathology & Clinical Pathology Physician, NPI 1053930487
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
311 PATHOLOGY in IN
Provider Addresses for AHMAD MAHMOUD ALKASHASH
350 W 11TH ST RM 4083
INDIANAPOLIS, IN 462024108
Phone: (317) 274-2476
Type: Mailing
55 FRUIT ST
BOSTON, MA 021142621
Phone: (617) 726-6716
Type: Location
350 W 11th St Rm 4083
Indianapolis, IN 462024108
Phone: (317) 274-2476
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240709004083 | I | Pathology | MA | TBD |
| I20250618001714 | I | Pathology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | TX | |
| - | TX | |
| - | TX | |
| P A T H O L O G Y | IN | |
| P A T H O L O G Y | MI | |
| - | IN | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | IN | |
| - | TX | |
| P A T H O L O G Y | IN |
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