Individual provider Active NPI

Rehan Ahmad, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Newburgh, NY
National Provider Identifier
1215959457
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
231245 Issued in NY
Practice address
5159 Route 9W
Suite B
Newburgh, NY 12550-1452
Phone
(845) 561-5972
Fax
(845) 561-7063
NPI assigned
Jul 24, 2006
Last updated
Apr 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 231245 NY Primary

Addresses

Primary practice location

5159 Route 9W
Suite B
Newburgh, NY 12550-1452

Mailing address

5159 Route 9W
Suite B
Newburgh, NY 12550-1452
Phone (845) 567-5972

Other identifiers 1

IdentifierTypeStateIssuer
02584150MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041029000875 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 1759343924 Practice locations: Newburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5159 Route 9W
Suite B
Newburgh, NY 12550-1452

5159B Route 9W
Newburgh, NY 12550-1414
Phone (845) 561-5972

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.56 of 100Reported as individual
Quality
58.79
Improvement activities
40
Cost
76.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group,PC Endocrinology, Diabetes & Metabolism PastSince Feb 1, 2007 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJEDAA/Endpoint/JJEDAA
  • Direct secure messaging: rehan.ahmad@ocde.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1215959457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 ROUTE 9W",
            "address_2": "SUITE B",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501452",
            "telephone_number": "845-567-5972",
            "fax_number": "845-561-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 ROUTE 9W",
            "address_2": "SUITE B",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501452",
            "telephone_number": "845-561-5972",
            "fax_number": "845-561-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "REHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "231245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02584150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.