Active NPI
Asma Sultana Ahmad, MD
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD24699
- Practice address
- 10566 SE Washington St
Portland, OR 97216-2809 - Phone
- (503) 734-3800
- Fax
- (503) 734-3808
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD24699 | OR | Primary |
Addresses
Primary practice location
10566 SE Washington St
Portland, OR 97216-2809
Mailing address
7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615
Other practice location 1
3640 NW Samaritan Dr Ste 220
Corvallis, OR 97330-3784
Phone (541) 768-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227506 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aahmadagency203540@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140425000091 | OR | Practitioner - Obstetrics/Gynecology | 3577461128 | 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 |
|---|---|---|---|
| MD24699 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Salem Health | Past | Accepting new patients | |
| Kaiser Foundation Hospitals | Past | Accepting new patients | |
| Northwest Urology, LLC | Past | Accepting new patients | |
| Women'S Healthcare Associates, LLC | Past | Accepting new patients | |
| Francis H. Tseng MD | Obstetrics & Gynecology | Past | Accepting new patients |
| OB-GYN Associates of Erie, PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
810 12th St
Hood River, OR 97031
Phone (541) 386-3911
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
Interoperability endpoints
- aahmadagency203540@samhealth.direct-ci.com
Organizations & group practices 9
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
OR
-
- Clinical Pathology Physician
- Hood River, OR
- NPI 1053862714
-
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
- General Acute Care Hospital
- Clackamas, OR
- NPI 1124182902
-
- Specialist
- Portland, OR
- NPI 1629461397
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Rural Health Clinic/Center
- Newberg, OR
- NPI 1922987460
-
- Obstetrics & Gynecology Physician
- Erie, PA
- NPI 1184669228
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Erie, PA
- NPI 1497702294
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1366466500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-601-3615",
"fax_number": "503-646-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10566 SE WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162809",
"telephone_number": "503-734-3800",
"fax_number": "503-734-3808"
}
],
"practiceLocations": [
{
"address_1": "3640 NW Samaritan Dr Ste 220",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973303784",
"country_code": "US",
"telephone_number": "541-768-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "ASMA",
"middle_name": "SULTANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD24699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227506",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aahmadagency203540@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3640 NW Samaritan Dr Ste 220",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303784",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.