Physician Compare National (NPI:1316908155)

HEALTHCARE PROVIDER: NABIL AHMAD M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316908155
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1850201666
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040927000610
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AHMAD
	Individual professional last name
Provider First Name	NABIL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PHYSICAL MEDICINE AND REHABILITATION
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PHYSICAL MEDICINE AND REHABILITATION
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	12855 N OUTER 40
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 275
	Group Practice or individual's line 2 address
City	ST LOUIS
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	631418667
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	260020
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY HOSPITAL ST LOUIS
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260179
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST LUKES HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260108
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MISSOURI BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y