FAKHRA AHMAD-BODLA N.P.
NPI 1285762344
Nurse Practitioner - Family in Madison, AL

Q: What is Fakhra Ahmad-bodla's NPI number?

The NPI number for Fakhra Ahmad-bodla is 1285762344. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Q: What is Fakhra Ahmad-bodla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 01, 2007PECOS Enrolled

400 SUN TEMPLE DR, MADISON, AL 35758(256) 774-5524(256) 774-5523 Get Directions Write a Review

NPPES record last updated: October 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2023, Aug 12, 2020 (2 updates tracked since 2020).

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About Fakhra Ahmad-bodla N.p. NPPES

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

FAKHRA AHMAD-BODLA N.P. (NPI 1285762344) is an individual family provider in Madison, Alabama, licensed in Alabama (1-113025) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285762344

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameFAKHRA AHMAD-BODLACredential: N.P.

Location Address400 SUN TEMPLE DRMadison, AL 35758-5924

Mailing Address123 Foxhound DrMadison, AL 35758-6881 · (626) 644-7723 · Fax (256) 774-5523

Phone(256) 774-5524

Fax(256) 774-5523

Sole ProprietorNo

Enumeration DateMarch 1, 2007

Last NPPES UpdateOctober 7, 20232 updates tracked since enumeration

NPPES CertifiedOctober 7, 2023

✔ NPI 1285762344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AL · 1-113025✔ Licensed in TN · APN0000013314✔ Licensed in CA · 14489

400 SUN TEMPLE DR, Madison, AL 35758

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Other Identifiers 1

Medicaid152756AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fakhra Ahmad-bodla N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

KELLY BAUGHER CRNP

Nurse Practitioner (Family)