Tina Ahmadinejad, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD460436 Issued in PA

Practice address

1080 N Delaware Ave Ste 800
Philadelphia, PA 19125-4338

Phone

(267) 463-5800

Fax

(215) 586-6038

NPI assigned

Jun 16, 2014

Last updated

Jan 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Absolutecare of Philadelphia, LLC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1437662772
  Medicare reassignment NPD
• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Ave. Behavioral Healthcare

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1205140902
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Absolutecare of Philadelphia, LLC

  • Multi-Specialty Clinic/Center
  • Pittsburgh, PA
  • NPI 1669132767
  NPD
• Greater Philadelphia Health Action Inc.

  dba GPHA Woodland Avenue Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1952356867

  Family Medicine

  NPD
• Greater Philadelphia Health Action, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1275151607
  NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797

  Family Medicine

  NPD
• Prospect Health Access Network, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Chester, PA
  • NPI 1477900991
  NPD
• Greater Philadelphia Health Action Inc.

  dba GPHA Southeast Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1417902362

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1114331337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338",
            "telephone_number": "267-463-5800",
            "fax_number": "215-586-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N DELAWARE AVE STE 800",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254338",
            "telephone_number": "267-463-5800",
            "fax_number": "215-586-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190136098",
            "country_code": "US",
            "telephone_number": "610-872-6131",
            "fax_number": "610-872-5128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMADINEJAD",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT207183",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD460436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Waqas Ahmad, DO
• Yusuf Ahmad
• Zainab Ahmad
• Farwa Ahmadi, M.ED
• Tahamtan Ahmadi, MD
• Shakelah Ahmady, CRNP
• Aida Ahmed, PHARMD
• Aiesha Ahmed
• Ainee Fatima Ahmed, MD
• Ali Ahmed

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.