DR. SYED AHMED ATHAR (M.D.) – Interventional Cardiology Physician, NPI 1508038597

DR. SYED AHMED ATHAR (M.D.) is a healthcare provider. based in Roseburg, Oregon. specializing in Interventional Cardiology Physician. They hold the professional credentials M.D.. They hold a License No. A108169 (CA). The NPI Number for DR. SYED AHMED ATHAR (M.D.) is 1508038597

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. SYED AHMED ATHAR (M.D.)
NPI
1508038597
Phone
(541) 677-1555
Address
2801 NW Mercy Dr Ste 300
Enumeration Date
31 March 2008
Last Update Date
11 June 2020

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5416771555
Graduation Year
2005 (21 years ago)
PAC ID
6305916313
Group Practice PAC ID
6103982962
Professional Enrollment ID
I20190604001436
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:18State licenses:4Digital endpointsOther names

Provider Addresses for DR. SYED AHMED ATHAR (M.D.)

  • 2801 NW Mercy Dr Ste 300

    Roseburg, OR 974712348

    Phone: (541) 677-1555

    Fax: (541) 677-2113

    Type: Location

  • 2205 W Main St

    Russellville, AR 728012759

    Phone: (479) 968-4311

    Fax: (479) 968-4399

    Type: Location

  • Emergency Room Entrance, 11201, Benton Street, Loma Linda, San Bernardino County, California, 92357, United States

    LOMA LINDA, CA 923571000

    Phone: (909) 583-6097

    Fax: (909) 777-3273

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $709.

Total Amount is formed as General ($709) + Research ($0) + Ownership ($0) = $709.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Boston Scientific Corporation ($269).

Total Amount

$709

General + Research + Ownership

Payments

16

Total payment records

General Amount

$709

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2019-06-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130917000257ICardiovascular Disease (Cardiology)ARTBD
I20190604001436IInterventional RadiologyORTBD

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 97471)

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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: 6103982962View full group profile
NameSpecialtyState
N E P H R O L O G YKY
P O D I A T R YOR
Cardiovascular Disease (Cardiology)WA
-OR
G A S T R O E N T E R O L O G YOR
Nephrology, Internal MedicineWA
Orthopedic SurgeryCA
General SurgeryOR
General SurgeryOR
Cardiovascular Disease (Cardiology)OR

Reviews

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Frequently asked questions

What number should I use to identify DR. SYED AHMED ATHAR (M.D.) for billing?
Administrative and clinical systems typically use NPI 1508038597 for DR. SYED AHMED ATHAR (M.D.).
Does the public listing show DR. SYED AHMED ATHAR (M.D.) as active?
DR. SYED AHMED ATHAR (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. SYED AHMED ATHAR (M.D.)'s specialty?
The extract shows Interventional Cardiology Physician for DR. SYED AHMED ATHAR (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. SYED AHMED ATHAR (M.D.) in Roseburg, Oregon?
For routing, start with Roseburg, Oregon for DR. SYED AHMED ATHAR (M.D.), then verify phone and hours locally.
Who maintains DR. SYED AHMED ATHAR (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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