Active NPI
Hassan Mirza Ahmad, M.D.
- Anesthesiology Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0065862
- Practice address
- 593 Eddy St
Davol 129
Providence, RI 02903-4923 - Phone
- (401) 444-4933
- Fax
- (401) 444-5083
- NPI assigned
- Feb 1, 2007
- Last updated
- Oct 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0065862 | MD | Primary |
Addresses
Primary practice location
593 Eddy St
Davol 129
Providence, RI 02903-4923
Mailing address
1 Virginia Ave
Suite 201
Providence, RI 02905-4427
Phone (401) 490-0916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Albany Medical College of Union University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-5000
300 Grove St
Worcester, MA 01605-3908
Phone (781) 585-9522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065862 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| MVP Anesthesia Associates, PC | Anesthesiology | Current | Accepting new patients |
| Icon Anesthesia Services of New England LLC | Anesthesiology | Current | Accepting new patients |
| JJM Medical Services, PC | Anesthesiology | Current | Accepting new patients |
| Emergency Associates of Eastern Ohio LLC | Past | Accepting new patients |
Locations
90 New State Hwy
Raynham, MA 02767
Phone (508) 823-7473
1440 Main St
Waltham, MA 02451
Phone (781) 891-9300
300 Grove St
Worcester, MA 01605
Phone (508) 754-0700
115 Cass Ave
Woonsocket, RI 02895
Phone (401) 356-1701
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Worcester, MA
- NPI 1275331761
-
- Anesthesiology Physician
- Lawrence, MA
- NPI 1467699918
-
- Anesthesiology Physician
- Middleton, MA
- NPI 1629583323
-
- Anesthesiology Physician
- Waltham, MA
- NPI 1952548265
-
- Emergency Medicine Physician
- East Liverpool, OH
- NPI 1134460116
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Vincent Hospital
- General Acute Care Hospital
- Worcester, MA
- NPI 1538131214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1194863241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VIRGINIA AVE",
"address_2": "SUITE 201",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054427",
"telephone_number": "401-490-0916",
"fax_number": "401-490-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "DAVOL 129",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-4933",
"fax_number": "401-444-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "HASSAN",
"middle_name": "MIRZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0065862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.