Active NPI
Sameer Ahmed, MD
- Vascular & Interventional Radiology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036.142379
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-5555
- Fax
- (203) 688-4516
- NPI assigned
- Mar 20, 2012
- Last updated
- Apr 17, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036.142379 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.142379 | IL | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
333 Cedar St
PO Box 208030
New Haven, CT 06510-3206
Phone (203) 688-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Johns Hopkins University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21230 Dequindre Rd
Warren, MI 48091-2279
Phone (810) 275-9333
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (708) 382-1498
4800 S Saginaw St
Flint, MI 48507-2677
912 Northwest Hwy
Suite 102
Fox River Grove, IL 60021-1925
Phone (224) 357-4001
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 15 |
| Leg revascularization (restoring blood flow) | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.142379 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jawad a Shah MD PC | Current | Accepting new patients | |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| David P Ellent PLLC | Single Specialty | Current | Accepting new patients |
| Friedell Clinic, S. C. | Single Specialty | Current | Accepting new patients |
| Loyola University Medical Center | Current | Accepting new patients | |
| Pain & Vascular Institute PLLC | Single Specialty | Current | Accepting new patients |
| Jackson Park Hospital Foundation | Single Specialty | Current | Accepting new patients |
| Insight Chicago, Inc. | Single Specialty | Current | Accepting new patients |
| David P Ellent PLLC | Current | Accepting new patients | |
| Jawad a Shah, MD PC | Single Specialty | Current | Accepting new patients |
| Insight Chicago, Inc. | Past | Accepting new patients |
Locations
190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
912 Northwest Hwy
Ste 102
Fox River Grv, IL 60021
Phone (224) 357-4001
4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336
4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108
4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152
2610 W Sam Houston Pkwy S
Houston, TX 77042
Phone (713) 360-8181
22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380
135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000
2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616
24721 State Highway 249
Tomball, TX 77375
Phone (281) 205-3681
26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515
Interoperability endpoints
- sahmed95919@direct.luhs.org
- sameer.ahmed.1@33614.direct.athenahealth.com
- sameerahmed@jph.medalliesdirect.net
Organizations & group practices 11
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.
-
dba Insight Hospital & Medical Center Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
Single Specialty
-
- Interventional Pain Medicine Physician
- Fox River Grove, IL
- NPI 1487445334
Single Specialty
-
dba Genesis Medical Group
- Clinical Medical Laboratory
- Kingwood, TX
- NPI 1891348959
-
dba Insight Hospital & Medical Center Chicago
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1154308518
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- Dearborn, MI
- NPI 1114667763
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Insight Hospital & Medical Center Chicago
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1043297401
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Northbrook, IL
- NPI 1518297878
-
dba Insight Hospital & Medical Center Chicago
- General Acute Care Hospital
- Chicago, IL
- NPI 1730166224
-
dba AdventHealth Wesley Chapel
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1104191444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"address_2": "PO BOX 208030",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "203-688-5555",
"fax_number": "203-688-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-5555",
"fax_number": "203-688-4516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SAMEER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-20",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.142379",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.142379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.