Individual provider Active NPI

Amina Jabeen Ahmed, M.D.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1467420547
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K3663 Issued in TX
Practice address
18400 Katy Fwy Ste 440
Houston, TX 77094-1381
Phone
(281) 829-0002
Fax
(281) 829-0015
NPI assigned
Mar 14, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X K3663 TX Primary

Addresses

Primary practice location

18400 Katy Fwy Ste 440
Houston, TX 77094-1381

Mailing address

PO Box 5525
Katy, TX 77491-5525
Phone (281) 829-0002

Other identifiers 4

IdentifierTypeStateIssuer
6484376OtherTXCIGNA HEALTH CARE
168888901MedicaidTX
54LZOtherTXBLUE CROSS BLUE SHIELD #
5928673OtherTXAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041018000474 TX Practitioner - NephrologyPractitioner - Internal Medicine 5395705917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18400 Katy Fwy
Suite 440
Houston, TX 77094-1381
Phone (281) 829-0002

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3663TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amina Jabeen Ahmed MD PA Nephrology CurrentSince Sep 1, 2004 Accepting new patients

Locations

18400 Katy Fwy
Ste 440
Houston, TX 77094
Phone (281) 676-4480

707 S Fry Rd
Ste 285
Katy, TX 77450
Phone (281) 395-9966

Interoperability endpoints

  • Direct secure messaging: aahmed79226@directhoustonmethodist.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1467420547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5525",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774915525",
            "telephone_number": "281-829-0002",
            "fax_number": "281-829-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 KATY FWY STE 440",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941381",
            "telephone_number": "281-829-0002",
            "fax_number": "281-829-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "AMINA",
        "middle_name": "JABEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K3663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "6484376",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168888901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "54LZ",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5928673",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.