Individual provider Active NPI

Ahmed Amini, DO

  • Nephrology Physician
  • Newport News, VA
National Provider Identifier
1053528307
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0102201560 Issued in VA
Practice address
12720 McManus Blvd Ste 307
Newport News, VA 23602-4414
Phone
(757) 599-3436
Fax
(757) 599-4240
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0102201560 VA Primary

Addresses

Primary practice location

12720 McManus Blvd Ste 307
Newport News, VA 23602-4414

Mailing address

860 Omni Blvd Ste 101
Newport News, VA 23606-4430
Phone (757) 232-8777

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ahmed.Amini.p1@direct.tpmg.nextgenshare.com Direct
Direct Messaging Address ahmed.amini.p1@direct.tpmg.netgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090806000022 VA Practitioner - NephrologyPractitioner - Internal Medicine 7719052778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physicians Multispecialty Group, PCGroup PAC ID 2860398526, 259 clinicians

Practice addresses (Care Compare)

12720 McManus Blvd
Suite 307
Newport News, VA 23602-4414
Phone (757) 599-3436

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6877

408 16TH St
West Point, VA 23181-9577
Phone (804) 843-3131

5424 Discovery Park Blvd
Williamsburg, VA 23188-2862

555 Denbigh Blvd
Suite C
Newport News, VA 23608-4201
Phone (757) 969-1755

860 Omni Blvd
Newport News, VA 23606-4430

Hospital & facility affiliations

  • Rai - John Tyler Hwy - Williamsburg Dialysis facility, Williamsburg, VA, CCN 492643
  • Fresenius Medical Care Denbigh Dialysis facility, Newport News, VA, CCN 492680
  • DaVita Merrimac Trail Dialysis Dialysis facility, Williamsburg, VA, CCN 492732
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physicians Multispecialty Group PC CurrentSince Aug 4, 2009 Accepting new patients
Tidewater Physicians Multispecialty Group PC Nephrology CurrentSince Aug 4, 2009 Accepting new patients

Locations

860 Omni Blvd
Newport News, VA 23606
Phone (757) 369-8138

860 Omni Blvd
Ste 101
Newport News, VA 23606
Phone (757) 223-9794

860 Omni Blvd
Ste 105
Newport News, VA 23606
Phone (757) 873-0952

729 Thimble Shoals Blvd
Newport News, VA 23606
Phone (757) 874-1077

12720 McManus Blvd
Ste 307
Newport News, VA 23602
Phone (757) 599-3436

860 Omni Blvd
Ste 303
Newport News, VA 23606
Phone (757) 232-8777

860 Omni Blvd
Ste 201
Newport News, VA 23606
Phone (757) 223-5321

827 Diligence Dr
Ste 100
Newport News, VA 23606

Interoperability endpoints

  • Direct secure messaging: ahmed.amini.p1@direct.tpmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1053528307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064430",
            "telephone_number": "757-232-8777",
            "fax_number": "757-232-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 MCMANUS BLVD STE 307",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024414",
            "telephone_number": "757-599-3436",
            "fax_number": "757-599-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "AHMED",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0102201560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ahmed.Amini.p1@direct.tpmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NEXT GEN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12720 McManus Blvd Ste 307",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236024414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahmed.amini.p1@direct.tpmg.netgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NEXTGEN",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NETWORK",
            "address_1": "12720 McManus Blvd Ste 307",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236024414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.