Syed Affan Ahmed, M.D.
Individual provider Active NPI Internal Medicine Physician · Roseville, CA
NPI 1356572622 · NPPES record last updated Jun 28, 2012
Key facts
- NPI
- 1356572622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A119459 (CA)
- Practice address
- One Medical Plaza Drive
Roseville, CA 95661 - Phone
- (916) 781-1927
- Fax
- (916) 781-1787
- NPI assigned
- Aug 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Valley Medical Foundation
Practice addresses (Care Compare)
1 Medical Plaza Dr
Roseville, CA 95661-3037
Phone (916) 454-6868
2800 L St
Sacramento, CA 95816-5616
Hospital & facility affiliations
- Sutter Roseville Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120622000517 | CA | Practitioner - Internal Medicine | 7214192368 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- sahmed129958@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A119459 | CA | Yes |
Addresses
Primary practice location
One Medical Plaza Drive
Roseville, CA 95661
Mailing address
P.O. Box 255228
Sacramento, CA 95816
Phone (916) 781-1927
Other providers in Roseville, CA
- Najeh M. Ahmad
- Pejman Ahmadi
- Ali Ahmed
- Amna Ahmed
- Faisal Ahmed
- Jinwoo Ahn
- Abigail Ahumada
- Aim Elderly Care LLC
- Luwanna Airheart
- Vivian Ko Aizpuru
All providers in Roseville, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.