Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Asad Ehtisham, MD

Individual provider Neurology Physician · NPI 1558366856

Dr. Asad Ehtisham, MD is a Neurology in Peoria, Arizona. Qualified in 1992, 34 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Arizona and Kentucky.

Years since qualifying
34
Licensed in
AZ, KY
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15396 N 83rd Ave Ste E
Peoria, AZ 85381-5627
Phone: (623) 300-3684
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 48099 (AZ)
Neurology Physician Taxonomy 2084N0400X · Licence 37736 (KY)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 37736 (KY)

Record details

NPI number1558366856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2005
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020
Mailing addressPo Box 43108, Phoenix, AZ 85080-3108

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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