Active NPI
Jamil Ahmed, MD
- Physical Medicine & Rehabilitation Physician
- Fresno, CA
National Provider Identifier
1043242670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A90461
- Practice address
- 6700 N 1St St Ste 114
Fresno, CA 93710-3947 - Phone
- (559) 697-4655
- Fax
- (559) 827-4869
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 224452-1 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A90461 | CA | Primary |
Addresses
Primary practice location
6700 N 1St St Ste 114
Fresno, CA 93710-3947
Mailing address
338 Harris Hill Rd Ste 207
Williamsville, NY 14221-7470
Phone (716) 634-6448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043242670 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110620000001 | CA | Practitioner - Physical Medicine and Rehabilitation | 0143240051 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6700 N 1St St
Suite 114
Fresno, CA 93710-3947
Phone (559) 697-4655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90461 | CA | MD | Physical Medicine & Rehabilitation Physician |
| 224452-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| University Physical Medicine and Rehabilitation Associates Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Kaweah Delta Health Care District | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Amherst, NY
- NPI 1356434666
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
-
- Physical Medicine & Rehabilitation Physician
- Buffalo, NY
- NPI 1558300871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1043242670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 HARRIS HILL RD STE 207",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142217470",
"telephone_number": "716-634-6448",
"fax_number": "716-634-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 N 1ST ST STE 114",
"city": "FRESNO",
"state": "CA",
"postal_code": "937103947",
"telephone_number": "559-697-4655",
"fax_number": "559-827-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "JAMIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "224452-1",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A90461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1043242670",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.