AHMAD A WATTAD MD
NPI 1174511588
Pediatrics - Pediatric Nephrology in Johnson City, TN
NPI Status: Active since October 10, 2005
Contact Information
325 N STATE OF FRANKLIN RD
GROUND FLOOR
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7320
Fax: (423) 439-7343
- Individual
- Male
- Pediatrics
- Pediatric Nephrology
- Accepts Insurance
- PECOS Enrolled
About AHMAD WATTAD
This page provides the complete NPI Profile along with additional information for Ahmad Wattad, a pediatrician established in Johnson City, Tennessee with a medical specialization in Pediatrics, focusing in pediatric nephrology . The healthcare provider is registered in the NPI registry with number 1174511588 assigned on October 2005. The practitioner's primary taxonomy code is 2080P0210X with license number MD20802 (TN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1174511588
- Provider Name
- AHMAD A WATTAD MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 325 N STATE OF FRANKLIN RD GROUND FLOOR JOHNSON CITY, TN 37604
- Location Phone
- (423) 439-7320
- Location Fax
- (423) 439-7343
- Mailing Address
- PO BOX 699 MOUNTAIN HOME, TN 37684
- Mailing Phone
- (423) 439-7320
- Mailing Fax
- (423) 439-7343
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-10-2005
- Last Update Date
- 01-29-2024
- Code Navigator
A pediatrician like Ahmad Wattad is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Nephrology
- Taxonomy Code
- 2080P0210X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD20802
- License State
- TN
- Taxonomy Description
- A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | MD20802 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q009946 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Ahmad Wattad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 7 | 4 | 5 | 1 | 1 | 5 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 1 | 2 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 1 + 2 + 5 + 1 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1174511588 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1821081134 | RAJANI ANAND M.D. Individual | Pediatrics (Pediatric Cardiology) | 325 N STATE OF FRANKLIN RD GROUND FLOOR JOHNSON CITY, TN 37604 (423) 439-7320 |
| 1124011481 | ISAAC WILLIAM BROWDER MD Individual | Surgery | 325 N STATE OF FRANKLIN RD 3RD FLOOR JOHNSON CITY, TN 37604 (423) 439-7201 |
| 1376536375 | BHUVANA GUHA MD Individual | Internal Medicine | 325 N STATE OF FRANKLIN RD 1ST FLOOR JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1811980907 | GAIL H GALLEMORE MD Individual | Pediatrics | 325 N STATE OF FRANKLIN RD GROUND FLOOR JOHNSON CITY, TN 37604 (423) 439-7320 |
| 1932192135 | DAVID O CHASTAIN MD Individual | Pediatrics (Adolescent Medicine) | 325 N STATE OF FRANKLIN RD GROUND FLOOR JOHNSON CITY, TN 37604 (423) 439-7320 |
| 1861485799 | BARBARA O KIMBROUGH MD Individual | Ophthalmology | 325 N STATE OF FRANKLIN RD 3RD FLOOR JOHNSON CITY, TN 37604 (423) 439-7201 |
| 1811980782 | RICHARD M JORDAN MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 325 N STATE OF FRANKLIN RD 2ND FLOOR JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1548253412 | DAVID K KALWINSKY MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 325 N STATE OF FRANKLIN RD GROUND FLOOR JOHNSON CITY, TN 37604 (423) 439-7320 |
| 1487647467 | FREDERICK R JELOVSEK MD Individual | Obstetrics & Gynecology | 325 N STATE OF FRANKLIN RD 1ST FLOOR JOHNSON CITY, TN 37604 (423) 439-7272 |
| 1366437253 | STEPHEN D LOYD M.D. Individual | Internal Medicine | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1356336242 | THERESA F LURA M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-8849 |
| 1588659403 | UCHENNA C NWOSU M.D. Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-7272 |
| 1902893464 | KONSTANTINOS PAPAS MD Individual | Internal Medicine | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1508854324 | LESLI A TAYLOR MD Individual | Surgery (Pediatric Surgery) | 325 N STATE OF FRANKLIN RD THIRD FLOOR JOHNSON CITY, TN 37604 (423) 439-7201 |
| 1063400471 | WILLIAM M WASON MD Individual | Internal Medicine (Rheumatology) | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1750367082 | STEPHEN J. DALE D.P.M Individual | Orthopaedic Surgery | 325 N STATE OF FRANKLIN RD 3RD FLOOR JOHNSON CITY, TN 37604 (423) 439-7201 |
| 1821045568 | BONNIE C DUNHAM RD Individual | Dietitian, Registered | 325 N STATE OF FRANKLIN RD 2ND FLOOR JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1922049063 | THOMAS R SCHNELL M.D. Individual | Internal Medicine | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-7280 |
| 1831373414 | DONALD FERGUSON JR. PHD Individual | Pathology (Clinical Laboratory Director, Non-physician) | 325 N STATE OF FRANKLIN RD JOHNSON CITY, TN 37604 (423) 439-6242 |
| 1972771012 | DR. JOHN KELLY SMITH M.D. Individual | Internal Medicine (Allergy & Immunology) | 325 N STATE OF FRANKLIN RD 2ND FLOOR JOHNSON CITY, TN 37604 (423) 439-7280 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174511588, enumerated in the NPI registry as an "individual" on October 10, 2005
The provider is located at 325 N State Of Franklin Rd Ground Floor Johnson City, Tn 37604 and the phone number is (423) 439-7320
The provider's speciality is Pediatrics with taxonomy code 2080P0210X with a focus in Pediatric Nephrology
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on October 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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