Ahmed Golam Haider

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

222682 Issued in NY

Practice address

1466 Saint Peters Ave
Bronx, NY 10461-3304

Phone

(917) 634-9445

Fax

(971) 634-9444

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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.

• Preferred Medical Care Ny, PC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1992049076
  Medicare reassignment NPD Authorized official
• The Schulman and Schachne Institute for Nursing and Rehabilitation Inc

  • Skilled Nursing Facility
  • Brooklyn, NY
  • NPI 1407842255
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450310400000",
    "number": "1154407310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PAGE RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813448",
            "telephone_number": "917-634-9445",
            "fax_number": "917-634-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 SAINT PETERS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613304",
            "telephone_number": "917-634-9445",
            "fax_number": "971-634-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "AHMED",
        "middle_name": "GOLAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02215281",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riley Hahm
• Kathy Kyungmin Hahn, DPM
• Kenneth Hahn, DDS
• Steven Hahn
• Toni Haida, MD
• Asim Haider, MD
• Brian Haider
• Camilia Haider, LMSW
• Muhammad N Haider, R.PH.
• Safee Ullah Haider, MD

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.

Verify at the official NPI Registry.