Individual provider Active NPI

Yehuda Syed Ahmad, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1346326675
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G4075 Issued in TX
Practice address
2709 W 15TH Street
Suite a
Plano, TX 75075
Phone
(972) 612-9355
Fax
(972) 612-5269
NPI assigned
Oct 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G4075 TX Primary

Addresses

Primary practice location

2709 W 15TH Street
Suite a
Plano, TX 75075

Mailing address

2709 W 15TH Street
Suite a
Plano, TX 75075
Phone (972) 612-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151209002010 TX Practitioner - Family Practice 3072814433 Practice locations: Plano, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2709 W 15TH St
Suite a
Plano, TX 75075-7545

2709 W 15TH St a
Plano, TX 75075-7545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4075TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: yehuda.ahmad.1@16153.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1346326675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W 15TH STREET",
            "address_2": "SUITE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-612-9355",
            "fax_number": "972-612-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 W 15TH STREET",
            "address_2": "SUITE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-612-9355",
            "fax_number": "972-612-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "YEHUDA",
        "middle_name": "SYED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-30",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.