Individual provider Active NPI

Khansa Ahmad, M.D

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1366837007
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1019208 Issued in MA
Practice address
4600 N Clarendon Ave Apt 508
Chicago, IL 60640-5749
Phone
(832) 477-6443
NPI assigned
Mar 31, 2015
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1019208 MA
Cardiovascular Disease Physician 207RC0000X 1019208 MA Primary
Interventional Cardiology Physician 207RI0011X 1019208 MA

Addresses

Primary practice location

4600 N Clarendon Ave Apt 508
Chicago, IL 60640-5749

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118

Other practice location 1

736 Cambridge St, 4th FL
Cardiovascular Medicine Suite, 4th FL Margaret's
Brighton, MA 02135
Phone (617) 562-7690

Other practice location 2

495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500

Other practice location 3

41 Mall Rd
Burlington, MA 01805-5749
Phone (781) 744-8085

Other practice location 4

60 East St
Suite 1400
Methuen, MA 01844
Phone (617) 202-6001

Other identifiers 2

IdentifierTypeStateIssuer
110208536AMedicaidMA
3146496MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240904001569 MA Practitioner - Cardiovascular Disease (Cardiology) 7911217021 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500

736 Cambridge St
Brighton, MA 02135-2907
Phone (617) 789-3000

77 Warren St
Brighton, MA 02135-3601
Phone (617) 562-5525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1019208MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Charles River Community Health, Inc CurrentSince Mar 6, 2026 Accepting new patients
BMC Affiliated Physicians, Inc. Internal Medicine CurrentSince Aug 17, 2025 Accepting new patients
Lawrence General Hospital Internal Medicine Current Accepting new patients
Charles River Community Health, Inc CurrentSince Mar 6, 2026 Accepting new patients
General Primary Care of Lawrence CurrentSince Jul 1, 2025 Accepting new patients
Lawrence General Hospital CurrentSince Jul 1, 2025 Accepting new patients
Boston Medical Center - Brighton Corporation Past Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

495 Western Ave
Brighton, MA 02135

736 Cambridge St
Fl 4
Brighton, MA 02135
Phone (617) 562-7690

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

70 East St
Methuen, MA 01844
Phone (978) 682-1906

43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800

Interoperability endpoints

  • Direct secure messaging: kahmad262933@direct.bmc.masshiway.net
  • Direct secure messaging: khansa.ahmad.1@2017.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1366837007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N CLARENDON AVE APT 508",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405749",
            "telephone_number": "832-477-6443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Cambridge St, 4th FL",
            "address_2": "Cardiovascular Medicine Suite, 4th FL Margaret's",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-562-7690",
            "fax_number": "617-562-7699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021351007",
            "country_code": "US",
            "telephone_number": "617-783-0500",
            "fax_number": "617-562-1398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41 Mall Rd",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018055749",
            "country_code": "US",
            "telephone_number": "781-744-8085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 East St",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "01844",
            "country_code": "US",
            "telephone_number": "617-202-6001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "KHANSA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1019208",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "1019208",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "1019208",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110208536A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3146496",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.