Individual provider Active NPI

Abdurhman Ahmed, M.D.

  • Nephrology Physician
  • Bronx, NY
National Provider Identifier
1316960941
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
171139 Issued in NY
Practice address
2385 Arthur Ave
Bronx, NY 10458-8184
Phone
(718) 562-2481
Fax
(718) 562-2482
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 171139 NY Primary

Addresses

Primary practice location

2385 Arthur Ave
Bronx, NY 10458-8184

Mailing address

PO Box 1032
Throggs Neck Station
Bronx, NY 10465-0996
Phone (718) 562-2481

Other identifiers 3

IdentifierTypeStateIssuer
8765603OtherOXFORD
2500325OtherNYGHI
01179657MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040804001161 NY Practitioner - NephrologyPractitioner - Internal Medicine 3870564644 Reassigns benefits to 1 organization
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Physicians PCGroup PAC ID 3072798941, 178 clinicians

Practice addresses (Care Compare)

2385 Arthur Ave
Bronx, NY 10458-8184
Phone (718) 562-2481

Hospital & facility affiliations

  • St. Barnabas Hospital Opd Dialysis Center Dialysis facility, Bronx, NY, CCN 332375
  • St Barnabas Hospital Hospital, Bronx, NY, CCN 330399

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC CurrentSince Nov 1, 2014 Accepting new patients
SBH Physicians, PC CurrentSince Nov 1, 2014 Accepting new patients
St. Barnabas Hospital Past Accepting new patients
Sandra J. Goldman-Cohen, O.D., LLC Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

260 E 188th St
Bronx, NY 10458
Phone (718) 618-8236

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

2385 Arthur Ave
Bronx, NY 10458
Phone (718) 562-2481

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: aahmed18582@sbhny.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1316960941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1032",
            "address_2": "THROGGS NECK STATION",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104650996",
            "telephone_number": "718-562-2481",
            "fax_number": "718-562-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104588184",
            "telephone_number": "718-562-2481",
            "fax_number": "718-562-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ABDURHMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "171139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "8765603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2500325",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01179657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.