IZZA AHMED
NPI 1124861257
General Practice in Lynchburg, VA

Q: What is Izza Ahmed's NPI number?

The NPI number for Izza Ahmed is 1124861257. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Q: What is Izza Ahmed's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Izza Ahmed was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2024PECOS Enrolled

2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501(434) 200-5200 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Izza Ahmed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IZZA AHMED (NPI 1124861257) is an individual general practice provider in Lynchburg, Virginia, licensed in Virginia (0116039719) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124861257

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameIZZA AHMED

Location Address2323 MEMORIAL AVE STE 10Lynchburg, VA 24501-2652

Mailing Address2323 Memorial Ave Ste 10Lynchburg, VA 24501-2652 · (434) 200-5200

Phone(434) 200-5200

Sole ProprietorYes

Enumeration DateJune 17, 2024

NPPES CertifiedJune 17, 2024

✔ NPI 1124861257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0116039719

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2323 MEMORIAL AVE STE 10, Lynchburg, VA 24501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Izza Ahmed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHUN R BERGLUND

General Practice