Aasiya Ahmed, PA-C
Individual provider Active NPI Surgical Physician Assistant · Norwich, CT
NPI 1497574545 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1497574545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 6719 (CT)
- Practice address
- 326 Washington St
Norwich, CT 06360-2740 - Phone
- (860) 830-2225
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The William W Backus Hospital
Practice addresses (Care Compare)
326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331
Hospital & facility affiliations
- William W Backus Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241119000940 | CT | Practitioner - Physician Assistant | 4082149729 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6719 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Backus Hospital | Current |
Accepting new patients |
Locations
326 Washington St
Norwich, CT 06360
Phone (860) 701-0140
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 6719 | CT | Yes |
| Physician Assistant |
363A00000X | 6719 | CT |
Addresses
Primary practice location
326 Washington St
Norwich, CT 06360-2740
Mailing address
PO Box 146
Windsor, CT 06095-0146
Phone (860) 830-2225
Other providers in Norwich, CT
- Lena Maria Aglio
- Fanny Elena Aguilar
- Eva M Ahern
- Amir Ahmad
- Natasha Selene Ahmad
- Mahfuza Akhtar
- Jan J Akus
- Sally J Albertson
- Anthony G. Alessi
- Jason H Allard
All providers in Norwich, CT · Surgical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.