Individual provider Active NPI

Surriya Colleen Ahmad, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1447614573
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
310762 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(212) 746-5026
NPI assigned
Apr 5, 2016
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 59164 KY
Emergency Medicine Physician 207P00000X 310762 NY Primary
Internal Medicine Physician 207R00000X 59164 KY

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210816001835 NY Practitioner - Emergency Medicine 6709281611 Reassigns benefits to 5 organizations
I20240409000246 KY Practitioner - Emergency Medicine 6709281611 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59164KYMDInternal Medicine Physician
310762NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Ky, LLC Single Specialty CurrentSince Nov 14, 2025 Accepting new patients
New York University Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Weill Medical College of Cornell Single Specialty Current Accepting new patients
New York University Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Community Medical Associates, Inc. Single Specialty Current Accepting new patients
University of Louisville Physicians, Inc. Single Specialty CurrentSince Sep 26, 2024 Accepting new patients
University of Louisville Physicians, Inc. Single Specialty Current Accepting new patients
Sullivan Emergency Services PC Single Specialty CurrentSince Sep 5, 2023 Accepting new patients
Community Medical Associates, Inc. Single Specialty CurrentSince Mar 2, 2024 Accepting new patients
University of Louisville Physicians, Inc. Single Specialty CurrentSince Sep 26, 2024 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Mar 2, 2024 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

299 Kings Daughters Dr
Hatton, KY 40601
Phone (502) 875-5240

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1447614573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SURRIYA",
        "middle_name": "COLLEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "59164",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "310762",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "59164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.