Active NPI
Ali Ahmed Vahidy, M.D.
- General Practice Physician
- Bronx, NY
National Provider Identifier
1285872259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301100105
- Practice address
- 1276 Fulton Ave
Bronx, NY 10456-3402 - Phone
- (718) 901-8654
- NPI assigned
- Jan 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301100105 | MI | Primary |
Addresses
Primary practice location
1276 Fulton Ave
Bronx, NY 10456-3402
Mailing address
6 Joseph CT
Broad Brook, CT 06016-9304
Phone (347) 967-6849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301100105 | MI | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | General Practice | Current | Accepting new patients |
Locations
175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1285872259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 JOSEPH CT",
"city": "BROAD BROOK",
"state": "CT",
"postal_code": "060169304",
"telephone_number": "347-967-6849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-901-8654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHIDY",
"first_name": "ALI",
"middle_name": "AHMED",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-29",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301100105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.