Active NPI
Hesham Ahmed, M.D.
- Surgical Critical Care Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- 25MA08635100
- Practice address
- 125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-7920
- Fax
- (732) 235-7079
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgery Physician | 208600000X | 0101243802 | VA | |
| Surgery Physician | 208600000X | 25MA08635100 | NJ | |
| Surgical Critical Care Physician | 2086S0102X | 25MA08635100 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962
Mailing address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
Phone (732) 212-0051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0217433 | Medicaid | NJ | |
| P00953260 | Other | NJ | RR MCR PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091119000176 | NJ | Practitioner - General Surgery | 6406915362 | Reassigns benefits to 1 organization |
| I20150505001952 | MI | Practitioner - Critical Care (Intensivists) | 6406915362 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- W. a. Foote Memorial Hospital, Inc.Acute Care Surgical Affiliates of Texas PA
Practice addresses (Care Compare)
1100 E Michigan Ave
201 Henry Ford Allegiance Outpatient Trauma
Jackson, MI 49201-1849
Phone (517) 205-7069
1301 S Coulter St
Suite 204
Amarillo, TX 79106-1765
Phone (806) 307-8626
Hospital & facility affiliations
- Henry Ford Allegiance Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101243802 | VA | MD | Surgery Physician |
| 25MA08635100 | NJ | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Hillsdale Community Health Center | Surgery | Current | Accepting new patients |
| Rutgers Health-RWJ Neurosurgery Faculty | Surgery | Current | Accepting new patients |
| Hillsdale Community Health Center | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Past | Accepting new patients |
Locations
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
451 Hidden Meadows Dr
Ste 120
Hillsdale, MI 49242
Phone (517) 437-0010
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
1100 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7605
1100 E Michigan Ave
Ste 209
Jackson, MI 49201
Phone (517) 205-8346
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
66 W Gilbert St
Fl 2
Tinton Falls, NJ 07701
Phone (732) 212-0051
Interoperability endpoints
- hahmed456421@direct.hfhs.org
Organizations & group practices 17
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.
-
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
MI, Surgery
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
-
- Surgery Physician
- Corpus Christi, TX
- NPI 1407322415
-
- Durable Medical Equipment & Medical Supplies
- Jackson, MI
- NPI 1669569034
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
-
- Home Health Agency
- Jackson, MI
- NPI 1962586123
-
- Psychiatric Hospital Unit
- Jackson, MI
- NPI 1962594317
-
- Emergency Medicine Physician
- Jackson, MI
- NPI 1265487722
-
- Certified Registered Nurse Anesthetist
- Jackson, MI
- NPI 1598776718
-
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
Hospital & facility affiliations 1
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": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1104015056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "SUITE 4100",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-7920",
"fax_number": "732-235-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "HESHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101243802",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA08635100",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NJ",
"license": "25MA08635100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0217433",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR PTAN",
"identifier": "P00953260",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.