Organization Active NPI

Mekail Ahmed MD PLLC

  • Primary Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1346079647
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MEKAIL AHMED MD PLLC
Practice address
14222 Pershing Cres FL 2
Jamaica, NY 11435-2022
Phone
(347) 481-6542
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mekail T Ahmed, MDNPI 1730755125
Title
Owner
Phone
(347) 481-6542

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

14222 Pershing Cres FL 2
Jamaica, NY 11435-2022

Mailing address

14222 Pershing Cres FL 2
Jamaica, NY 11435-2022
Phone (347) 481-6542

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250218000533 NY Part B Supplier - Clinic/Group Practice 9638699978 Receives reassigned benefits from 1 practitioner
Practice locations: Briarwood, NY

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.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1346079647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14222 PERSHING CRES FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352022",
            "telephone_number": "347-481-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14222 PERSHING CRES FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114352022",
            "telephone_number": "347-481-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEKAIL AHMED MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MEKAIL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-481-6542",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.