MASUDA AHMAD (MD) – Family Medicine Physician, NPI 1275525552

MASUDA AHMAD (MD) is a healthcare provider. based in Harlan, Kentucky. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 38023 (KY). The NPI Number for MASUDA AHMAD (MD) is 1275525552

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MASUDA AHMAD (MD)
NPI
1275525552
Phone
(606) 573-4520
Address
37 BALL PARK RD
Enumeration Date
22 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
7911976584
Group Practice PAC ID
0840107835
Professional Enrollment ID
I20040930000028
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MASUDA AHMAD (MD)

  • Ball Park Road, Harlan County, Kentucky, 40855, United States

    HARLAN, KY 408311701

    Phone: (606) 573-4520

    Fax: (606) 573-6392

    Mailing address matches the actual address.

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040930000028IFamily PracticeKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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 40831)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840107835View full group profile
NameSpecialtyState
-WV
General SurgeryMN
Physician AssistantWV
-KY
Diagnostic RadiologyWV
Interventional CardiologyMD
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyOH
Endocrinology, Internal MedicineNY
Orthopedic SurgeryMS
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does MASUDA AHMAD (MD) have a public NPI I can cite?
Public records show MASUDA AHMAD (MD) under NPI 1275525552.
Quick check: is MASUDA AHMAD (MD) active?
Public NPPES data shows MASUDA AHMAD (MD) with an active NPI status right now.
What type of care does MASUDA AHMAD (MD) provide?
MASUDA AHMAD (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MASUDA AHMAD (MD) tied to Harlan, Kentucky?
If you are local to Harlan, Kentucky, MASUDA AHMAD (MD) may be relevant to your search.
Can I export MASUDA AHMAD (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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