Individual provider Active NPI

Hassan Muhammad Ahmad, MD

  • Vascular & Interventional Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1609219153
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD60926461 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MD60926461 WA
Diagnostic Radiology Physician 2085R0202X MD60926461 WA
Vascular & Interventional Radiology Physician 2085R0204X MT207508 PA
Vascular & Interventional Radiology Physician 2085R0204X MD60926461 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

132 S 10th St
Philadelphia, PA 19107-5244
Phone (215) 955-6000

Other practice location 2

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (215) 896-3235

Other identifiers 1

IdentifierTypeStateIssuer
2135567MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190712001523 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0547491557 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Central Washington Health Services AssociationGroup PAC ID 4880504596, 708 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians

Practice addresses (Care Compare)

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051
  • Evergreenhealth Medical Center Hospital, Kirkland, WA, CCN 500124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60926461WAMDBody Imaging Physician
MT207508PAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Swedish Health Services Internal Medicine CurrentSince Dec 8, 2019 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Swedish Health Services CurrentSince Dec 8, 2019 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Swedish Health Services Body Imaging CurrentSince Dec 8, 2019 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Central Washington Health Services Association CurrentSince Feb 14, 2022 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Aug 12, 2019 Accepting new patients
Wenatchee Valley Hospital CurrentSince Aug 1, 2019 Accepting new patients
Public Hospital District No 4, King County Wa Internal Medicine Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

3417 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-4600

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

Organizations & group practices 40

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.

View all 40

Hospital & facility affiliations 9

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1609219153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075244",
            "country_code": "US",
            "telephone_number": "215-955-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "215-896-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "HASSAN",
        "middle_name": "MUHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "WA",
            "license": "MD60926461",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60926461",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MT207508",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD60926461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2135567",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.