Anis Ahmed, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C1-0005262 Issued in DE

Practice address

400 Delaware Ave
Suite 105
Millsboro, DE 19966-1718

Phone

(302) 934-1861

Fax

(302) 934-7318

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in DE

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

Specialty

Psychiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun Behavioral Delaware LLC 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sun Behavioral Delaware, LLC

  • Psychiatric Hospital
  • Georgetown, DE
  • NPI 1891213179

  DE

  Medicare reassignment Care Compare group NPD
• Med Psych Services LLC

  • Psychiatry Physician
  • Wilmington, DE
  • NPI 1790284834

  DE, Psychiatry

  Medicare reassignment NPD
• Fellowship Health Resources, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, RI
  • NPI 1245239680

  DE

  Medicare reassignment NPD

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

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434

  Hospital

  Care Compare affiliation
• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1407877202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W MARKET ST",
            "address_2": "STE 110",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472344",
            "telephone_number": "302-854-0626",
            "fax_number": "302-752-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DELAWARE AVE",
            "address_2": "SUITE 105",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661718",
            "telephone_number": "302-934-1861",
            "fax_number": "302-934-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ANIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0058183",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1 0005262",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0005262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000867801",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4015720-00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4015916 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4015720 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000916802",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Semaan M Abboud, M.D.
• Accurate Optical Co of Millsboro Inc.
• Frank Agyei-Yeboah
• Kari Iddings Ainsworth, LMT
• Javed Akhtar, MD
• Alma Surratt Pmhnp, CNS-BC
• Alternative Solutions Consulting Group, LLC
• Alternatives LLC

• All providers in Millsboro, DE
• Psychiatry Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.

Verify at the official NPI Registry.