NPIMap

Individual provider Active NPI

Abdel Salam Ahmed, MD

  • Family Medicine Physician
  • Meyersdale, PA
National Provider Identifier
1083628119
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD438689 Issued in PA
Practice address
202 Beachley St
Meyersdale, PA 15552-1220
Phone
(814) 634-5935
NPI assigned
Jul 27, 2006
Last updated
Dec 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 044432 CT
Family Medicine Physician 207Q00000X MD438689 PA Primary

Addresses

Primary practice location

202 Beachley St
Meyersdale, PA 15552-1220

Mailing address

77 Oak St
Watertown, CT 06795-2742
Phone (860) 417-0648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110119000785 PA Practitioner - HospitalistPractitioner - Family Practice 6002915568 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
Pinnacle Health Hospitalist Services LLCGroup PAC ID 9739313545, 180 clinicians

Practice addresses (Care Compare)

111 S Front St
Harrisburg, PA 17101-2010

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

409 S 2ND St
Harrisburg, PA 17104-1612

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 657-7332

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
88.49
Promoting interoperability
100
Improvement activities
40
Cost
72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044432CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Hospitalist Services LLC Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Lake Erie Medical Group PC Family Medicine CurrentSince May 23, 2014 Accepting new patients
Pinnacle Health Medical Services CurrentSince Mar 6, 2019 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Jul 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke's Physician Group Inc Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Pinnacle Health Medical Services Family Medicine CurrentSince Mar 6, 2019 Accepting new patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

145 W 23rd St
Ste 202
Erie, PA 16502
Phone (814) 580-5600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

Interoperability endpoints

  • Direct secure messaging: aahmed59407@direct-guthrie.org

Organizations & group practices 9

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 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1083628119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 OAK ST",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952742",
            "telephone_number": "860-417-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BEACHLEY ST",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155521220",
            "telephone_number": "814-634-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ABDEL SALAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "044432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD438689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meyersdale, PA

Sources for this page

Verify at the official NPI Registry.