Shihab Ahmed
Individual provider Active NPI Emergency Medicine Physician · Johnstown, PA
NPI 1104710995 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1104710995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MT234233 (PA)
- Practice address
- 1086 Franklin St
Johnstown, PA 15905-4305 - Phone
- (814) 534-3745
- NPI assigned
- Jun 5, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250804004029 | PA | Order and Referring Only - Emergency Medicine |
1456869080 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- sahmed51075@direct.conemaugh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MT234233 | PA | Yes |
Addresses
Primary practice location
1086 Franklin St
Johnstown, PA 15905-4305
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Other providers in Johnstown, PA
- Advantagepoint Health Alliance - Laurel Highlands, LLC
- Bonifacio Tan Aguilera
- Brian Patrick Ahlstrom
- Nuzhat Ahmad
- Mosleh Uddin Ahmed
- Ann Aiken
- Ralph Richard Aiken
- Noor Ul Ain
- Corinne M Akers
- Nil Akgul
All providers in Johnstown, PA · Emergency Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.