Individual provider Active NPI

Khalid Saifullah Ahmad, MD

  • Pediatric Pulmonology Physician
  • Farmingville, NY
National Provider Identifier
1568622397
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
254147 Issued in NY
Practice address
465 Blue Point Rd
Farmingville, NY 11738-1839
Phone
(631) 495-1962
Fax
(631) 615-1043
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 254147 NY
Pediatric Sleep Medicine Physician 2080S0012X 254147 NY
Pediatric Pulmonology Physician 2080P0214X 254147 NY Primary

Addresses

Primary practice location

465 Blue Point Rd
Farmingville, NY 11738-1839

Mailing address

465 Blue Point Rd
Farmingville, NY 11738-1839
Phone (631) 495-1962

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
I20090829000004 NY Practitioner - Pulmonary DiseasePractitioner - Sleep MedicinePractitioner - Hospitalist 2163577024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
Icahn School of Medicine at Mount Sinai, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Physicians Group, PLLC 19 clinicians

Practice addresses (Care Compare)

283 Commack Rd
Suite 300
Commack, NY 11725-3400
Phone (631) 462-2980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
254147NYMDPediatric Pulmonology Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Brookdale Hospital Medical Center CurrentSince Oct 20, 2018 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 20, 2018 Accepting new patients
Ny Pediatric Pulmonary & Sleep Medicine PLLC Pediatric Pulmonology CurrentSince Jan 29, 2021 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jul 12, 2024 Accepting new patients
Raphael Strauss MD PC Pediatric Pulmonology CurrentSince Oct 21, 2017 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1349 Broadway
Brooklyn, NY 11221
Phone (425) 216-8810

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

283 Commack Rd
Ste 300
Commack, NY 11725
Phone (631) 462-2980

465 Blue Point Rd
Farmingville, NY 11738
Phone (631) 495-1962

448 Griffing Ave
Riverhead, NY 11901
Phone (631) 369-7080

1600 Stewart Ave
Ste 310
Westbury, NY 11590
Phone (516) 224-4271

Networks

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

Interoperability endpoints

  • Direct secure messaging: khalid.ahmad.1@29151.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1568622397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BLUE POINT RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381839",
            "telephone_number": "631-495-1962",
            "fax_number": "631-615-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BLUE POINT RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381839",
            "telephone_number": "631-495-1962",
            "fax_number": "631-615-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "KHALID",
        "middle_name": "SAIFULLAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NY",
            "license": "254147",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NY",
            "license": "254147",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "NY",
            "license": "254147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

Verify at the official NPI Registry.