Individual provider Active NPI

Mohamed Mohamed Rahouma Ahmed, MD, MSC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
National Provider Identifier
1235800178
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
308368 Issued in NY
Practice address
525 E 68TH St # 110
New York, NY 10065-4870
Phone
(212) 746-9440
NPI assigned
Sep 21, 2021
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 308368 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 308368 NY Primary
Surgical Oncology Physician 2086X0206X 308368 NY

Addresses

Primary practice location

525 E 68TH St # 110
New York, NY 10065-4870

Mailing address

525 E 68TH St # 110
New York, NY 10065-4870
Phone (212) 746-9440

Other names 1

  • Dr. Mohamed Mohamed Rahouma Ahmed Other name

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
I20250428000947 NY Practitioner - Internal Medicine 7911423512 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Py Medical Services of Ny PLLCGroup PAC ID 8921476391, 16 clinicians
My Medical PCGroup PAC ID 0143610600, 93 clinicians
Peyman Younesi MD PLLCGroup PAC ID 4981860202, 98 clinicians

Practice addresses (Care Compare)

100 Castleton Ave
Staten Island, NY 10301-3004
Phone (718) 273-1300

110 Meisner Ave
Staten Island, NY 10306-1236
Phone (718) 554-8700

70 Father Capodanno Blvd
Staten Island, NY 10305-4803
Phone (718) 273-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
308368NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilm Medical Care PLLC CurrentSince Feb 6, 2025 Accepting new patients
My Medical PC CurrentSince Apr 15, 2025 Accepting new patients
Py Medical Services of Ny PLLC CurrentSince Aug 25, 2025 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Apr 15, 2025 Accepting new patients

Locations

600 E Crescent Ave
Ste 305
Upper Saddle River, NJ 07458

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

3518 Bainbridge Ave
Bronx, NY 10467
Phone (212) 410-9047

3519 Bainbridge Ave
Bronx, NY 10467
Phone (718) 655-1991

1555 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 307-5460

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

9131 175th St
#13292
Jamaica, NY 11432

645 W Broadway
Long Beach, NY 11561
Phone (516) 431-4400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

822 Cedar Ave
#13282
Niagara Falls, NY 14301
Phone (716) 272-1207

100 Castleton Ave
Staten Island, NY 10301
Phone (718) 273-1300

110 Henderson Ave
Staten Island, NY 10301
Phone (718) 727-8100

110 Meisner Ave
Staten Island, NY 10306
Phone (718) 554-8700

200 Lafayette Ave
Staten Island, NY 10301
Phone (718) 448-9000

70 Father Capodanno Blvd
Staten Island, NY 10305
Phone (718) 273-8900

65 Ashburton Ave
Yonkers, NY 10701
Phone (914) 729-4916

65 Ashburton Ave
#13202
Yonkers, NY 10701
Phone (914) 963-4572

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 3

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1235800178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST # 110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMED",
        "middle_name": "MOHAMED RAHOUMA",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "308368",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "308368",
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "308368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMED",
            "last_name": "RAHOUMA AHMED",
            "middle_name": "MOHAMED",
            "prefix": "DR.",
            "credential": "MD, MSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.