Organization Active NPI

Hamid Ahmadi MD PA

  • Other Specialist/Technologist
  • Dallas, TX
National Provider Identifier
1316121254
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
J4681 Issued in TX
Legal business name
HAMID AHMADI MD PA
Practice address
5820 Covehaven Dr
Dallas, TX 75252-5228
Phone
(601) 898-4400
Fax
(601) 898-4404
NPI assigned
Dec 27, 2007
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Hamid Ahmadi, MDNPI 1588774178
Title
Owner, MD
Phone
(972) 248-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X J4681 TX Primary

Addresses

Primary practice location

5820 Covehaven Dr
Dallas, TX 75252-5228

Mailing address

PO Box 795519
Dallas, TX 75379-5519
Phone (601) 898-4400

Other identifiers 2

IdentifierTypeStateIssuer
0075KHOtherBLUE CROSS BLUE SHIELD
159996101MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1316121254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795519",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753795519",
            "telephone_number": "601-898-4400",
            "fax_number": "601-898-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 COVEHAVEN DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525228",
            "telephone_number": "601-898-4400",
            "fax_number": "601-898-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMID AHMADI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OWNER, MD",
        "authorized_official_telephone_number": "972-248-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TX",
            "license": "J4681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0075KH",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159996101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.