Individual provider Active NPI

Hamayun N Ahmed, M.D.

  • Psychiatry Physician
  • Lehighton, PA
National Provider Identifier
1124046909
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD435807 Issued in PA
Practice address
211 N 12TH St
Lehighton, PA 18235-1138
Phone
(610) 377-7174
Fax
(610) 377-7174
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD435807 PA Primary

Addresses

Primary practice location

211 N 12TH St
Lehighton, PA 18235-1138

Mailing address

211 N 12TH St
Lehighton, PA 18235-1138
Phone (610) 377-7174

Other identifiers 1

IdentifierTypeStateIssuer
1023101950001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20180911001220 WA Practitioner - Psychiatry 2163578139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vest Seattle LLCGroup PAC ID 7416233549, 17 clinicians

Practice addresses (Care Compare)

3955 156TH St NE
Marysville, WA 98271-4831
Phone (844) 202-5555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD435807PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Vest Seattle, LLC Psychiatry CurrentSince Jul 10, 2018 Accepting new patients
Vest Seattle, LLC Past Accepting new patients

Locations

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

3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1124046909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "610-377-7174",
            "fax_number": "610-377-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "610-377-7174",
            "fax_number": "610-377-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "HAMAYUN",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD435807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023101950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.