NPIMap

Individual provider Active NPI

Syed Hasnat Ahmed, MD

  • Hematology & Oncology Physician
  • El Centro, CA
National Provider Identifier
1023123288
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A54334 Issued in CA
Practice address
1271 Ross Ave
El Centro, CA 92243-4304
Phone
(760) 335-3030
Fax
(760) 335-3035
NPI assigned
Aug 20, 2006
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A54334 CA Primary

Addresses

Primary practice location

1271 Ross Ave
El Centro, CA 92243-4304

Mailing address

PO Box 23058
San Diego, CA 92193-3058
Phone (858) 292-4022

Other identifiers 2

IdentifierTypeStateIssuer
00A543340MedicaidCA
P00228825OtherCARR MEDICARE PIN #

Other names 1

  • Dr. S Hasnat Ahmed Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000110 CA Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 8921058561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
S H Ahmed MD PHD IncGroup PAC ID 1052506987, 3 clinicians

Practice addresses (Care Compare)

1271 Ross Ave
El Centro, CA 92243-4304
Phone (760) 335-3030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.83 of 100Reported as individual
Quality
30
Improvement activities
0
Cost
56.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54334CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S H Ahmed MD PHD Inc Hematology & Oncology CurrentSince Jul 1, 2010 Accepting new patients
Pioneer Memorial Hospital & Health Services Past Accepting new patients
Pioneers Memorial Healthcare District Past Accepting new patients
S.Hasnat Ahmed, MD, Apc Hematology & Oncology PastSince Dec 16, 2020 Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

1271 Ross Ave
El Centro, CA 92243
Phone (760) 335-3030

1410 S La Brucherie Rd
El Centro, CA 92243
Phone (760) 335-3030

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1023123288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23058",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921933058",
            "telephone_number": "858-292-4022",
            "fax_number": "858-291-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434304",
            "telephone_number": "760-335-3030",
            "fax_number": "760-335-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SYED",
        "middle_name": "HASNAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A54334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A543340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN #",
            "identifier": "P00228825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S",
            "last_name": "AHMED",
            "middle_name": "HASNAT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.