Individual provider Active NPI

Mushtaque Ahmed, MD

  • Cardiovascular Disease Physician
  • Conroe, TX
National Provider Identifier
1275917361
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
S5539 Issued in TX
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200512002892 NY Practitioner - Internal Medicine 8628312584 Reassigns benefits to 1 organization
I20220623001214 PA Practitioner - HospitalistPractitioner - Internal Medicine 8628312584 Reassigns benefits to 1 organization
I20230628003707 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8628312584 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting74
Pacemaker insertion or repair1-10
Varicose vein removal21
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S5539TXMDCardiovascular Disease Physician
MD476166PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Maimonides Primary Care FPP Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Paramount MD PA CurrentSince Nov 1, 2025 Accepting new patients
Cardiac Cath Lab of Conroe, LP CurrentSince Sep 14, 2023 Accepting new patients
1960 Physician Associates CurrentSince Jan 25, 2025 Accepting new patients
Adnan Afzal, MD PA Cardiovascular Disease CurrentSince May 27, 2023 Accepting new patients
Paramount MD PA Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Texas Heart and Valve PLLC Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
Bright Health Physician Associates CurrentSince Jul 1, 2025 Accepting new patients
Cardiac Imaging Inc CurrentSince Jan 28, 2025 Accepting new patients
Main Line Healthcare Internal Medicine CurrentSince Aug 1, 2022 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

  • FHIR API: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.