Individual provider Active NPI

Lotus Ahmed, D.O

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1003059981
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264355 Issued in NY
Practice address
518 McDonald Ave
Brooklyn, NY 11218-3870
Phone
(917) 848-5432
Fax
(347) 252-6754
NPI assigned
Apr 8, 2009
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264355 NY Primary

Addresses

Primary practice location

518 McDonald Ave
Brooklyn, NY 11218-3870

Mailing address

PO Box 5289
New York, NY 10087-5289
Phone (718) 670-1415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121126000462 NY Practitioner - Internal Medicine 4880845783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1731 E 34TH St
Brooklyn, NY 11234-4427

518 McDonald Ave
1R
Brooklyn, NY 11218-3870
Phone (718) 600-9479

596 Prospect PL
Brooklyn, NY 11238-4205
Phone (833) 252-2737

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
264355NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 1, 2012 Accepting new patients
Team Care Medical PLLC Internal Medicine CurrentSince Dec 7, 2024 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Aug 1, 2014 Accepting new patients
Lotus Medical PLLC Internal Medicine CurrentSince Apr 10, 2015 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Jul 1, 2012 Accepting new patients

Locations

100A Livingston St
Brooklyn, NY 11201
Phone (718) 852-4300

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

596 Prospect Pl
Brooklyn, NY 11238
Phone (718) 362-1450

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lahmed144385@nychhc.direct-ci.com
  • Direct secure messaging: lotus.ahmed.1@32021.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1003059981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5289",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100875289",
            "telephone_number": "718-670-1415",
            "fax_number": "516-437-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183870",
            "telephone_number": "917-848-5432",
            "fax_number": "347-252-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "LOTUS",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.