Active NPI
Khansa Ahmad, M.D
- Cardiovascular Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 1019208
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110208536A | Medicaid | MA | |
| 3146496 | Medicaid | NH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1019208 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc | Internal Medicine | Current | Accepting new patients |
| Charles River Community Health, Inc | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Lawrence General Hospital | Internal Medicine | Current | Accepting new patients |
| Charles River Community Health, Inc | Current | Accepting new patients | |
| General Primary Care of Lawrence | Current | Accepting new patients | |
| Lawrence General Hospital | Current | 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
- kahmad262933@direct.bmc.masshiway.net
- 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Federally Qualified Health Center (FQHC)
- Brighton, MA
- NPI 1487664884
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
Internal Medicine
-
- Family Medicine Physician
- Lawrence, MA
- NPI 1144544040
-
- Federally Qualified Health Center (FQHC)
- Allston, MA
- NPI 1134306368
-
- Federally Qualified Health Center (FQHC)
- Waltham, MA
- NPI 1750486106
-
- Hospitalist Physician
- Lawrence, MA
- NPI 1801023189
-
dba LGH Vaccination Clinic
- Allergy & Immunology Physician
- Lawrence, MA
- NPI 1881272102
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boston Medical Center - Brighton
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
dba Boston Medical Center - South
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
dba Merrimack Health Lawrence Hospital
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.