Mediha Ahmad, M.D.
Individual provider Active NPI Radiation Oncology Physician · Victoria, TX
NPI 1124447255 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1124447255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- R3406 (KY)
- Practice address
- 601 E San Antonio St Ste 101W
Victoria, TX 77901-6004 - Phone
- (361) 485-9600
- Fax
- (361) 485-9610
- NPI assigned
- Apr 16, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Radiation Oncology
- Education
- Baylor College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utmb Faculty Group Practice
Practice addresses (Care Compare)
200 Blossom St
Webster, TX 77598-4204
Phone (832) 632-6500
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20220112000325 | TX | Practitioner - Radiation Oncology | 2264742642 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3406 | KY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Provider Network | Current |
Accepting new patients | |
| Hendrick Provider Network | Current |
Accepting new patients | |
| Utmb Faculty Group Practice | Current |
Accepting new patients | |
| Family Medicine of Abilene PA | Past |
Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
2000 Pine St
Abilene, TX 79601
Phone (325) 670-6340
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541
300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
2280 Gulf Fwy S
Ste 21600
League City, TX 77573
Phone (409) 772-3466
200 Blossom St
Webster, TX 77598
Phone (281) 252-7000
Interoperability endpoints
- https://api.platform.athenahealth.com/3893/brand/1/csg/1/fhir/r4
- mahmad@detar.direct.varian.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | R3406 | KY | Yes |
Addresses
Primary practice location
601 E San Antonio St Ste 101W
Victoria, TX 77901-6004
Mailing address
601 E San Antonio St Ste 101W
Victoria, TX 77901-6004
Phone (361) 485-9600
Other practice location 1
1 Baylor Plz
Surgery Education Office, Suite 404D
Houston, TX 77030-3411
Phone (713) 798-8941
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mediha.ahmad.1@1902.direct.athenahealth.com |
Other providers in Victoria, TX
- Affectionate Arms
- Junaid Haider Afridi
- Shah Nawaz Afridi
- Magdalena R Aguilera
- Ahmad I. Qadri, M. D., P. a.
- Hany Ahmed
- Taha Mohammed Ahmed
- Yasir Ahmed
- Roy John Aimone
- Cynthia M Airhart
All providers in Victoria, TX · Radiation Oncology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.