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DR. SOBAN AHMAD MD
NPI 1194347138
Student in an Organized Health Care Education/Training Program in Greenville, NC

Active since May 13, 2020PECOS Enrolled
600 MOYE BLVD., VMC MA ROOM 350, INTERNAL MEDICINE RESIDENCY PROGRAM, GREENVILLE, NC 27834(252) 744-4560(252) 744-2280 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Feb 24, 2022, May 13, 2020 (3 updates tracked since 2020).

About Dr. Soban Ahmad Md NPPES

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

DR. SOBAN AHMAD MD (NPI 1194347138) is an individual student in an organized health care education/training program in Greenville, North Carolina, licensed in North Carolina (263375) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194347138
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SOBAN AHMADCredential: MD
Location Address600 MOYE BLVD., VMC MA ROOM 350, INTERNAL MEDICINE RESIDENCY PROGRAMGreenville, NC 27834
Mailing Address2100 Stantonsburg Road, Graduate Medical Education Office, Vidant Medical CenteGreenville, NC 27834 · (252) 744-4560 · Fax (252) 744-2280
Phone(252) 744-4560
Fax(252) 744-2280
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 13, 2020
Last NPPES UpdateFebruary 24, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1194347138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · 263375
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 MOYE BLVD., VMC MA ROOM 350, Greenville, NC 27834
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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)

Dr. Soban Ahmad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507281029
PECOS Enrollment IDI20260506003757
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Soban Ahmad's NPI number?

The NPI number for Soban Ahmad is 1194347138. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Soban Ahmad located?

Soban Ahmad practices at 600 Moye Blvd., Vmc Ma Room 350 Internal Medicine Residency Program, Greenville, NC 27834. The listed phone number is (252) 744-4560.

What is Soban Ahmad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Soban Ahmad enrolled in Medicare?

Yes. Soban Ahmad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Soban Ahmad was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.