Mansoor Ahmad, MD
Individual provider Active NPI Interventional Cardiology Physician · Newark, DE
NPI 1184014102 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1184014102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- D87100 (MD)
- Practice address
- 4755 Ogletown Stanton Rd
Newark, DE 19718-0001 - Phone
- (302) 733-1000
- NPI assigned
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Practices of Antietam, LLC
Practice addresses (Care Compare)
1733 Howell Rd
Hagerstown, MD 21740-6638
Phone (301) 797-2525
Hospital & facility affiliations
- Meritus Medical Center
- Medstar Washington Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 116 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618000033 | MD | Practitioner - Interventional Cardiology | 4789991092 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7-0005994 | DE | MD | Internal Medicine Physician |
| 57.021825 | OH | MD | Internal Medicine Physician |
| D87100 | MD | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meritus Medical Center Inc | Current |
Accepting new patients | |
| Medical Practices of Antietam LLC | Current |
Accepting new patients | |
| Meritus Medical Center Inc | Current |
Accepting new patients | |
| Medical Practices of Antietam, LLC | Current |
Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Past |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
310 W 9th St
Ste 10
Frederick, MD 21701
Phone (301) 714-4350
1733 Howell Rd
Hagerstown, MD 21740
Phone (301) 797-2525
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
11110 Medical Campus Rd
Ste 223
Hagerstown, MD 21742
Phone (240) 203-9000
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C7-0005994 | DE | |
| Internal Medicine Physician | 207R00000X | 57.021825 | OH | |
| Interventional Cardiology Physician | 207RI0011X | D87100 | MD | Yes |
Addresses
Primary practice location
4755 Ogletown Stanton Rd
Newark, DE 19718-0001
Mailing address
5849 Broad Branch Way
Frederick, MD 21704-6701
Other practice location 1
1733 Howell Rd
Hagerstown, MD 21740-6638
Phone (301) 797-2525
Other providers in Newark, DE
- Raphael Agbor-Enoh
- Inongo D. Agbormbai
- Awanwosa Valentine Agho
- Janelle Agnew
- Demetrios J Agriantonis
- Sajjad Ahmad
- Tyonna Ahmad
- Jamil Ahmed
- Omnia Ahmed Ahmed
- Rizwana Ahmed
All providers in Newark, DE · Interventional Cardiology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 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.