Mansoor Ahmad, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

D87100 Issued in MD

Practice address

4755 Ogletown Stanton Rd
Newark, DE 19718-0001

Phone

(302) 733-1000

NPI assigned

Jan 29, 2015

Last updated

May 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Interventional Cardiology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001
• Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

Procedures performed for Medicare patients

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.

• Medical Practices of Antietam LLC

  • Clinic/Center
  • Hagerstown, MD
  • NPI 1710854963
  Medicare reassignment Care Compare group NPD
• Meritus Medical Center Inc

  dba Meritus Palliative Care

  • Nurse Practitioner
  • Hagerstown, MD
  • NPI 1205176393
  Medicare reassignment NPD
• Medical Practices of Antietam, LLC

  • General Practice Physician
  • Hagerstown, MD
  • NPI 1558430843
  NPD
• Meritus Medical Center Inc

  dba Meritus Radiology

  • Diagnostic Radiology Physician
  • Hagerstown, MD
  • NPI 1184477911
  NPD
• Meritus Medical Center Inc

  dba Meritus Anesthesia Services

  • Anesthesiology Physician
  • Hagerstown, MD
  • NPI 1508632191
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Medical Practices of Antietam LLC

  • General Practice Physician
  • Frederick, MD
  • NPI 1316745953
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Meritus Medical Center Inc

  • General Acute Care Hospital
  • Hagerstown, MD
  • NPI 1942281266
  Care Compare affiliation
• Washington Hospital Center Corporation

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1548378235
  Care Compare affiliation

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1184014102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5849 BROAD BRANCH WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217046701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197180001",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1733 Howell Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406638",
            "country_code": "US",
            "telephone_number": "301-797-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "MANSOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C7-0005994",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.021825",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D87100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael Agbor-Enoh, RPH
• Inongo D. Agbormbai, DO
• Awanwosa Valentine Agho, MD
• Janelle Agnew, APRN, PMHNP-BC
• Demetrios J Agriantonis, MD
• Sajjad Ahmad, MD
• Tyonna Ahmad
• Jamil Ahmed
• Omnia Ahmed Ahmed, LACMH
• Rizwana Ahmed

• Interventional Cardiology Physician in Newark, DE
• Providers in Newark, DE by specialty
• Interventional Cardiology Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.