DR. REFAYAT AHSEN (MD) – Internal Medicine Physician, NPI 1003435108

DR. REFAYAT AHSEN (MD) is a healthcare provider. based in Oak ridge, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 72162 (TN). The NPI Number for DR. REFAYAT AHSEN (MD) is 1003435108

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. REFAYAT AHSEN (MD)
NPI
1003435108
Phone
(865) 684-0799
Address
127 DANBURY DR
Enumeration Date
9 April 2020
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707931000
Graduation Year
2018 (8 years ago)
PAC ID
6406273077
Group Practice PAC ID
0244695104
Professional Enrollment ID
I20240604001753
Address ID
KY421043362BO1801XCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

Provider Addresses for DR. REFAYAT AHSEN (MD)

  • 127 DANBURY DR

    OAK RIDGE, TN 378308750

    Phone: (865) 684-0799

    Type: Mailing

  • 4800 E JOHNSON AVE

    JONESBORO, AR 724058413

    Phone: (865) 684-0799

    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.

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: 2025-03-21

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
I20240604001753IInternal MedicineKYTBD
I20250321000848IInternal MedicineTNTBD

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 37830)

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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: 0244695104View full group profile
NameSpecialtyState
Internal MedicineKY
Internal MedicineKY
Internal MedicineKY
Emergency Medicine, Emergency Medicine, Internal MedicineAL
Internal MedicineNC
Emergency MedicineNY
Family PracticeIL
Nurse PractitionerKY
Physician AssistantKY
Internal MedicineKY

Reviews

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Frequently asked questions

What is the standard ID for DR. REFAYAT AHSEN (MD) in the U.S.?
In the U.S., DR. REFAYAT AHSEN (MD) is identified by NPI 1003435108.
Quick check: is DR. REFAYAT AHSEN (MD) active?
Public NPPES data shows DR. REFAYAT AHSEN (MD) with an active NPI status right now.
Which specialty label fits DR. REFAYAT AHSEN (MD)?
NPPES ties DR. REFAYAT AHSEN (MD) to Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. REFAYAT AHSEN (MD)?
DR. REFAYAT AHSEN (MD) is associated with Oak Ridge, Tennessee in the same public data insurers reference.
Can I export DR. REFAYAT AHSEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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