Individual provider Active NPI

Mohammad Kamran Ahmed, M.D

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1508271503
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
295152 Issued in NY
Practice address
2116 Bath Ave
Brooklyn, NY 11214-4908
Phone
(718) 901-8248
NPI assigned
Jun 27, 2014
Last updated
Mar 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 295152 NY Primary

Addresses

Primary practice location

2116 Bath Ave
Brooklyn, NY 11214-4908

Mailing address

2116 Bath Ave
Brooklyn, NY 11214-4908
Phone (347) 338-5111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002001325 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 4789935776 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2116 Bath Ave
Brooklyn, NY 11214-4908
Phone (347) 338-5111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Faculty Practice Plan CurrentSince Jul 1, 2019 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 15, 2019 Accepting new patients
Bronxcare Health System Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Family Medical Health Care PLLC Family Medicine CurrentSince Aug 31, 2019 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Oct 15, 2019 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Bronxcare Health System CurrentSince Sep 1, 2018 Accepting new patients
Congregational SNF LLC Past Accepting new patients

Locations

1276 Fulton Ave
Bronx, NY 10456
Phone (718) 518-5000

1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104

2116 Bath Ave
Brooklyn, NY 11214
Phone (347) 338-5111

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

50 Water St
Fl 3
New York, NY 10004

Networks

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

Organizations & group practices 8

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 2

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": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1508271503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144908",
            "telephone_number": "347-338-5111",
            "fax_number": "347-338-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 BATH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144908",
            "telephone_number": "718-901-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMMAD",
        "middle_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.