AHMAD OTHMAN MD
NPI 1215507371
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since June 30, 2021PECOS Enrolled
1924 ALCOA HWY # U-114, KNOXVILLE, TN 37920(865) 305-6324(865) 305-6429 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Jun 30, 2021 (2 updates tracked since 2021).

About Ahmad Othman Md NPPES

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

AHMAD OTHMAN MD (NPI 1215507371) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215507371
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameAHMAD OTHMANCredential: MD
Location Address1924 ALCOA HWY # U-114Knoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · (865) 305-6324 · Fax (865) 305-6429
Fax(865) 305-6429
Sole ProprietorNo
Enumeration DateJune 30, 2021
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
NPI 1215507371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
1924 ALCOA HWY # U-114, Knoxville, TN 37920

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ahmad Othman Md 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.

Internal Medicine (Critical Care Medicine)
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920

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 Ahmad Othman's NPI number?

The NPI number for Ahmad Othman is 1215507371. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Ahmad Othman located?

Ahmad Othman practices at 1924 Alcoa Hwy # U-114, Knoxville, TN 37920. The listed phone number is (865) 305-6324.

What is Ahmad Othman's specialty?

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

Is Ahmad Othman enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ahmad Othman 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.