Active NPI
Ahmed Dardeir, MD
- General Practice Physician
- Hampton, VA
National Provider Identifier
1336135656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0101287615
- Practice address
- 40 Hunt Club Blvd
Hampton, VA 23666-2274 - Phone
- (757) 825-2425
- NPI assigned
- Sep 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101287615 | VA | Primary |
| Physical Therapist | 225100000X | 022859 | NY |
Addresses
Primary practice location
40 Hunt Club Blvd
Hampton, VA 23666-2274
Mailing address
124 Ashworth Ave
Staten Island, NY 10314-4904
Phone (917) 202-1555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251222002596 | VA | Practitioner - General Practice | 3577583384 | Practice locations: Hampton, VA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
124 Ashworth Ave
Staten Island, NY 10314-4904
40 Hunt Club Blvd
Hampton, VA 23666-2274
Phone (347) 912-7862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101287615 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Dimension Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
2327 83rd St
Ste A
Brooklyn, NY 11214
Phone (718) 513-4577
2421 Avenue U
Brooklyn, NY 11229
Phone (718) 616-1966
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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1487981692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1336135656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 ASHWORTH AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103144904",
"telephone_number": "917-202-1555",
"fax_number": "718-494-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 HUNT CLUB BLVD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236662274",
"telephone_number": "757-825-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARDEIR",
"first_name": "AHMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101287615",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.