Active NPI
Mushtaque Ahmed, MD
- Cardiovascular Disease Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- S5539
- Practice address
- 100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821 - Phone
- (936) 441-9680
- NPI assigned
- Jul 17, 2015
- Last updated
- Sep 9, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD476166 | PA | |
| Hospitalist Physician | 208M00000X | MD476166 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | S5539 | TX | Primary |
Addresses
Primary practice location
100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Mailing address
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-6421
Other practice location 1
418 Stanhope St
Apt# 3F
Brooklyn, NY 11237-4403
Phone (347) 279-0713
Other practice location 2
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 476-6421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
128 Vision Park Blvd
Suite 130
Shenandoah, TX 77384-3021
Phone (832) 387-1714
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
- Houston Methodist the Woodlands Hospital
- Memorial Hermann Hospital System
- Huntsville Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 74 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 21 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5539 | TX | MD | Cardiovascular Disease Physician |
| MD476166 | PA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center Maimonides Primary Care FPP | Internal Medicine | Current | Accepting new patients |
| Paramount MD PA | Current | Accepting new patients | |
| Cardiac Cath Lab of Conroe, LP | Current | Accepting new patients | |
| 1960 Physician Associates | Current | Accepting new patients | |
| Adnan Afzal, MD PA | Cardiovascular Disease | Current | Accepting new patients |
| Paramount MD PA | Internal Medicine | Current | Accepting new patients |
| Texas Heart and Valve PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Bright Health Physician Associates | Current | Accepting new patients | |
| Cardiac Imaging Inc | Current | Accepting new patients | |
| Main Line Healthcare | Internal Medicine | Current | Accepting new patients |
Locations
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200
3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530
100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583
100 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 441-9680
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
600 River Pointe Dr
Ste 100
Conroe, TX 77304
Phone (936) 525-3512
11850 Bissonnet St
Ste Z
Houston, TX 77099
Phone (281) 372-6892
15990 N Barkers Landing Rd
Ste 150
Houston, TX 77079
837 FM 1960 Rd W
Ste 105
Houston, TX 77090
Phone (281) 453-7158
137 N Lhs Dr
Lumberton, TX 77657
Phone (409) 284-9717
128 Vision Park Blvd
Ste 130
Shenandoah, TX 77384
Phone (832) 387-1714
17183 I 45 S
Ste 350
Shenandoah, TX 77385
Phone (936) 321-0080
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDIFDD/Endpoint/IDIFDD
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Shenandoah, TX
- NPI 1639915887
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1215391941
-
dba Healing Hearts Clinic
- Cardiovascular Disease Physician
- Conroe, TX
- NPI 1396935714
-
- Multi-Specialty Clinic/Center
- Lumberton, TX
- NPI 1760298160
-
dba College Park Heart & Vascular Center
- Multi-Specialty Clinic/Center
- Shenandoah, TX
- NPI 1194005603
-
- Internal Medicine Physician
- Houston, TX
- NPI 1518610393
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013968593
-
dba Paramount Famly Medical Clinic
- Urgent Care Clinic/Center
- Houston, TX
- NPI 1144113382
-
- Mobile Radiology Clinic/Center
- Oakbrook Terrace, IL
- NPI 1770830606
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
dba Huntsville Memorial Hospital
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
-
dba MHHS NW Radiation Therapy
- Radiology Clinic/Center
- Houston, TX
- NPI 1013948553
Hospital
-
dba MHHS Woodlands Outpatient Imaging System
- Radiology Clinic/Center
- The Woodlands, TX
- NPI 1275564858
Hospital
-
dba Memorial Hermann Outpatient Imaging-Southwest
- Radiology Clinic/Center
- Houston, TX
- NPI 1407959448
Hospital
-
dba MHHS Friendswood Imaging
- Radiology Clinic/Center
- Friendswood, TX
- NPI 1508896267
Hospital
-
dba MHHS Pearland Outpatient Imaging Center
- Radiology Clinic/Center
- Pearland, TX
- NPI 1669402335
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
dba Houston Methodist The Woodlands Hospital
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1275917361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "484-476-6421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773042821",
"telephone_number": "936-441-9680"
}
],
"practiceLocations": [
{
"address_1": "418 Stanhope St",
"address_2": "Apt# 3F",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112374403",
"country_code": "US",
"telephone_number": "347-279-0713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190963450",
"country_code": "US",
"telephone_number": "484-476-6421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMED",
"first_name": "MUSHTAQUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-17",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD476166",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD476166",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "S5539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.