Individual provider Active NPI

Laeeq Ahmad, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lanham, MD
National Provider Identifier
1063452282
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D0026021 Issued in MD
Practice address
8116 Good Luck Rd Ste 210
Lanham, MD 20706-3508
Phone
(240) 965-4405
Fax
(240) 965-4417
NPI assigned
Jun 7, 2006
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0026021 MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D0026021 MD Primary

Addresses

Primary practice location

8116 Good Luck Rd Ste 210
Lanham, MD 20706-3508

Mailing address

8116 Good Luck Rd Ste 210
Lanham, MD 20706-3508
Phone (240) 965-4405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026021MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vascular Medicine NJ, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Atlantis Vascular Resources LLC Cardiovascular Disease 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, 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1063452282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 210",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "240-965-4405",
            "fax_number": "240-965-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 GOOD LUCK RD STE 210",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063508",
            "telephone_number": "240-965-4405",
            "fax_number": "240-965-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "LAEEQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0026021",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0026021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.