Individual provider Active NPI

Ahmed S Rabbat, M.D.

  • Infectious Disease Physician
  • Elmhurst, NY
National Provider Identifier
1558469262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
193951 Issued in NY
Practice address
9002 Queens Blvd
Elmhurst, NY 11373-4941
Phone
(917) 888-1363
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 193951 NY Primary

Addresses

Primary practice location

9002 Queens Blvd
Elmhurst, NY 11373-4941

Mailing address

18 Shrub Hollow Rd
Roslyn, NY 11576-3108
Phone (917) 888-1363

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
I20070404000221 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 3375647167 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
193951NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sure Medical PC CurrentSince Sep 1, 2017 Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

9425 60th Ave
Ste B4
Elmhurst, NY 11373
Phone (718) 280-9092

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3096 51st St
Woodside, NY 11377
Phone (718) 204-1469

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558469262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SHRUB HOLLOW RD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763108",
            "telephone_number": "917-888-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9002 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734941",
            "telephone_number": "917-888-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABBAT",
        "first_name": "AHMED",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "193951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.