Individual provider Active NPI

Sohail S Ahmad, MD

  • Orthopaedic Surgery Physician
  • Palm Desert, CA
National Provider Identifier
1366413270
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G85632 Issued in CA
Practice address
36915 Cook St
Ste 103
Palm Desert, CA 92211-6067
Phone
(760) 340-1003
Fax
(760) 340-4844
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G85632 CA Primary

Addresses

Primary practice location

36915 Cook St
Ste 103
Palm Desert, CA 92211-6067

Mailing address

36915 Cook St
Ste 103
Palm Desert, CA 92211-6067
Phone (760) 340-1003

Other identifiers 1

IdentifierTypeStateIssuer
347527000OtherUS DEPT LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040622001231 CA Practitioner - Orthopedic SurgeryPractitioner - Physical Medicine and Rehabilitation 8224013370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Physical Medicine and Rehabilitation
Education
Jefferson Medical College of Thomas Jefferson University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36915 Cook St
Suite 103
Palm Desert, CA 92211-6067
Phone (760) 340-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85632CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Spine Sport & Joint Center Orthopaedic Surgery CurrentSince Sep 1, 2011 Accepting new patients
West Coast Surgery Inc Orthopaedic Surgery Current Accepting new patients

Locations

1073 Ross Ave
Ste D
El Centro, CA 92243
Phone (760) 340-1003

36915 Cook St
Ste 103
Palm Desert, CA 92211
Phone (442) 666-3025

39000 Bob Hope Dr
Ste K209
Rancho Mirage, CA 92270
Phone (760) 340-1003

Organizations & group practices 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1366413270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36915 COOK ST",
            "address_2": "STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116067",
            "telephone_number": "760-340-1003",
            "fax_number": "760-340-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36915 COOK ST",
            "address_2": "STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116067",
            "telephone_number": "760-340-1003",
            "fax_number": "760-340-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SOHAIL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G85632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT LABOR",
            "identifier": "347527000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.