Mushtaque Ahmed, MD
Individual provider Active NPI Cardiovascular Disease Physician · Conroe, TX
NPI 1275917361 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1275917361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- S5539 (TX)
- Practice address
- 100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821 - Phone
- (936) 441-9680
- NPI assigned
- Jul 17, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 9
Medicare Care Compare profile
- 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 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in NY, PA, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200512002892 | NY | Practitioner - Internal Medicine | 8628312584 | Reassigns benefits to 1 organization |
| I20220623001214 | PA | Practitioner - Hospitalist |
8628312584 | Reassigns benefits to 1 organization |
| I20230628003707 | TX | Practitioner - Cardiovascular Disease (Cardiology) |
8628312584 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S5539 | TX | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramount MD PA | Internal Medicine | Current |
Accepting new patients |
| 1960 Physician Associates | Current |
Accepting new patients | |
| Cardiac Cath Lab of Conroe, LP | Current |
Accepting new patients | |
| Maimonides Medical Center Maimonides Primary Care FPP | Internal Medicine | Current |
Accepting new patients |
| Texas Heart and Valve PLLC | Cardiovascular Disease | Current |
Accepting new patients |
| Paramount MD PA | Current |
Accepting new patients | |
| Adnan Afzal, MD PA | Cardiovascular Disease | Current |
Accepting new patients |
| Main Line Healthcare | Internal Medicine | Current |
Accepting new patients |
| Cardiac Imaging Inc | Current |
Accepting new patients | |
| Bright Health Physician Associates | 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
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
100 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 441-9680
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
17183 I 45 S
Ste 350
Shenandoah, TX 77385
Phone (936) 321-0080
128 Vision Park Blvd
Ste 130
Shenandoah, TX 77384
Phone (832) 387-1714
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDIFDD/Endpoint/IDIFDD
Specialties & licenses
| 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 | Yes |
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
Other providers in Conroe, TX
- Raven Macrine Agulto
- Ahl Health LLC
- Areeba Muneeb Ahmad
- Adeel Ahmed
- Hanna Ahmed
- Omar Yousuf Ahmed
- Yousuf Ahmed
- Airmid Wellness Inc
- Hamsini Ajjan
- Akai Anesthesia PLLC
All providers in Conroe, TX · Cardiovascular Disease Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.