Individual provider Active NPI

Khaja Yousuf Ahmed, MD

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1225352875
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
257359-1 Issued in NY
Practice address
506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215
Phone
(718) 780-3279
NPI assigned
Mar 24, 2010
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 257359-1 NY Primary

Addresses

Primary practice location

506 6TH Street
Ny Methodist Hospital
Brooklyn, NY 11215

Mailing address

P.O. Box 550
2 Catharine Street Park Slope Anesthesia Associates, PC
Poughkeepsie, NY 12602
Phone (866) 868-8416

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
I20101109000989 NY Practitioner - Anesthesiology 0042405664 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Slope Anesthesia Associates PCGroup PAC ID 3870483860, 67 clinicians
Hudson Ambulatory Medical PLLCGroup PAC ID 9335531193, 16 clinicians

Practice addresses (Care Compare)

506 6TH St
Brooklyn, NY 11215-3609
Phone (718) 780-3279

515 Madison Ave
FL 9
New York, NY 10022-5460
Phone (888) 589-8550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257359-1NYMDAnesthesiology Physician
257359NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkslopeanesthesia Associates Current Accepting new patients
Ahmed Physician Group P.C. Anesthesiology Current Accepting new patients
Hudson Ambulatory Medical PLLC Anesthesiology CurrentSince Oct 3, 2022 Accepting new patients
Park Slope Anesthesia Associates PC Anesthesiology CurrentSince Aug 1, 2010 Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

515 Madison Ave
Fl 9
New York, NY 10022
Phone (845) 205-2756

22 Ibm Rd
Ste 210
Poughkeepsie, NY 12601

Interoperability endpoints

  • Direct secure messaging: kya9006@direct.nyp.org

Organizations & group practices 4

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": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1225352875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 550",
            "address_2": "2 CATHARINE STREET PARK SLOPE ANESTHESIA ASSOCIATES, PC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12602",
            "telephone_number": "866-868-8416",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 6TH STREET",
            "address_2": "NY METHODIST HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "718-780-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "KHAJA",
        "middle_name": "YOUSUF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "257359-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.