Active NPI
Rubina Ahmed, M.D.
- Psychiatry Physician
- Syracuse, NY
National Provider Identifier
1417099862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 230807
- Practice address
- 2700 Bellevue Ave
Upper Level
Syracuse, NY 13219-3234 - Phone
- (315) 218-6970
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 230807 | NY | Primary |
Addresses
Primary practice location
2700 Bellevue Ave
Upper Level
Syracuse, NY 13219-3234
Mailing address
4605 Ashfield Ter
Syracuse, NY 13215-2473
Phone (315) 218-6970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20240820001692 | NY | Order and Referring Only - Psychiatry | 2961588645 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Practice Group, Dept. of Psych | Psychiatry | Past | Accepting new patients |
| Psychiatry Faculty Practice, Inc. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Syracuse, NY
- NPI 1710929047
Psychiatry
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1417099862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 ASHFIELD TER",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152473",
"telephone_number": "315-218-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 BELLEVUE AVE",
"address_2": "UPPER LEVEL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193234",
"telephone_number": "315-218-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "RUBINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "230807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.