Individual provider Active NPI

Fatima Sayyeda Ahmed, MD

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1396212080
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018-02729 Issued in NC
Practice address
4904 Majestic Prince CT
Raleigh, NC 27606-4269
Phone
(847) 271-7255
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 2018-02729 NC Primary

Addresses

Primary practice location

4904 Majestic Prince CT
Raleigh, NC 27606-4269

Mailing address

4904 Majestic Prince CT
Raleigh, NC 27606-4269
Phone (847) 271-7255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20201012002605 NC Practitioner - Obstetrics/Gynecology 0547680605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of WakeGroup PAC ID 6305759952, 21 clinicians

Practice addresses (Care Compare)

10 Sunnybrook Rd
Raleigh, NC 27610-1808
Phone (919) 212-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-02729NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonology & Bronchology Single Specialty CurrentSince Sep 14, 2020 Accepting new patients
County of Wake Single Specialty Current Accepting new patients
County of Wake Single Specialty CurrentSince Nov 11, 2023 Accepting new patients
County of Wake CurrentSince Nov 11, 2023 Accepting new patients

Locations

222 Mast Dr
#102
Garner, NC 27529
Phone (708) 812-9101

10 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-4570

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1396212080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 MAJESTIC PRINCE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064269",
            "telephone_number": "847-271-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 MAJESTIC PRINCE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064269",
            "telephone_number": "847-271-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "FATIMA",
        "middle_name": "SAYYEDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2018-02729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.