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

Individual provider Internal Medicine Physician · NPI 1629573142

Dr. Ayaz Ahmad, MD is an Internal Medicine in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Proactive Clinical Partners - ACO, a 30-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2018
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

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone: (314) 996-5772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6420 Clayton Rd, Saint Louis, MO 63117-1811 — (314) 768-8778

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2021031235 (MO)

Record details

NPI number1629573142
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address3015 N Ballas Rd, Saint Louis, MO 63131-2329

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Proactive Clinical Partners - Aco — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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