Nowsheen Ahmed, M.D.
Individual provider Active NPI Pediatrics Physician · Midlothian, VA
NPI 1508894700 · NPPES record last updated Jan 16, 2013
Key facts
- NPI
- 1508894700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 0101238691 (VA)
- Practice address
- 5955 Harbour Park Dr
Midlothian, VA 23112-2163 - Phone
- (804) 744-4495
- Fax
- (804) 744-0751
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110329000096 | VA | Practitioner - Pediatric Medicine | 9830372861 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101238691 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Pediatrics | Current |
Accepting new patients |
| Privia Medical Group, LLC | Current |
Accepting new patients | |
| Commonwealth Pediatrics | Past |
Accepting new patients | |
| Chesterfield Pediatrics | Past |
Accepting new patients |
Locations
8644 Sudley Rd
#220
Manassas, VA 20110
5955 Harbour Park Dr
Midlothian, VA 23112
Phone (804) 744-4495
Interoperability endpoints
- nowsheenahmed@cpam.allscriptsdirect.net
- https://api.platform.athenahealth.com/15869/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101238691 | VA | Yes |
Addresses
Primary practice location
5955 Harbour Park Dr
Midlothian, VA 23112-2163
Mailing address
5955 Harbour Park Dr
Midlothian, VA 23112-2163
Phone (804) 744-4495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932155504 | Medicaid | VA | |
| 1831126382 | Medicaid | VA | |
| 1508894700 | Medicaid | VA |
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- Schabnam Ahmadi
- Laura K Aisenberg
- Uduak Akan-Etuk
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- Susan M Alabanza
All providers in Midlothian, VA · Pediatrics Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2013. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.