Active NPI
Sana Ahmad Din, MD
- Family Medicine Physician
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD471664
- Practice address
- 120 Hobart St
Residency Program
Utica, NY 13501-4308 - Phone
- (315) 801-1149
- Fax
- (315) 801-3565
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Utica, NY
- NPI 1558327833
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3640 Concord Pike
Suite 1033
Wilmington, DE 19803-5022
Hospital & facility affiliations
- Acacia Certified Home Care Co
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, IL, GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201028000538 | PA | Practitioner - Family Practice | 0749690097 | Reassigns benefits to 1 organization |
| I20251205001590 | IL | Practitioner - Internal Medicine | 0749690097 | Reassigns benefits to 1 organization |
| I20251205002213 | GA | Practitioner - Internal Medicine | 0749690097 | Reassigns benefits to 1 organization |
| I20260108000986 | NC | Practitioner - Internal Medicine | 0749690097 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD471664 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyla Health Inc | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Family Medicine | Current | Accepting new patients |
Locations
3640 Concord Pike
Wilmington, DE 19803
Phone (301) 337-8294
1010 Lake St
Oak Park, IL 60301
Phone (708) 970-7512
128 S Tryon St
Charlotte, NC 28202
Phone (704) 709-5688
430 N Main St
Spring Grove, PA 17362
Phone (717) 225-4884
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD471664 | PA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
120 Hobart St
Residency Program
Utica, NY 13501-4308
Mailing address
430 N Main St
Spring Grove, PA 17362-1123
Phone (717) 851-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2020.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1356881817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N MAIN ST",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "173621123",
"telephone_number": "717-851-6500",
"fax_number": "717-755-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HOBART ST",
"address_2": "RESIDENCY PROGRAM",
"city": "UTICA",
"state": "NY",
"postal_code": "135014308",
"telephone_number": "315-801-1149",
"fax_number": "315-801-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD DIN",
"first_name": "SANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD471664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.