Individual provider Active NPI

Ahmed Dardeir, MD

  • General Practice Physician
  • Hampton, VA
National Provider Identifier
1336135656
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101287615 Issued in VA
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

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0101287615VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.