Active NPI
Khalid Saifullah Ahmad, MD
- Pediatric Pulmonology Physician
- Farmingville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 254147
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090829000004 | NY | Practitioner - Pulmonary Disease | 2163577024 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 254147 | NY | MD | Pediatric Pulmonology Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Ny Pediatric Pulmonary & Sleep Medicine PLLC | Pediatric Pulmonology | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Current | Accepting new patients | |
| Raphael Strauss MD PC | Pediatric Pulmonology | Current | 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
- 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.
-
- Pediatric Pulmonology Physician
- Farmingville, NY
- NPI 1700474897
NY, Pediatric Pulmonology
-
- Allergy & Immunology Physician
- Commack, NY
- NPI 1528289568
Pediatric Pulmonology
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1639756406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.