Active NPI
Hassan Muhammad Ahmad, MD
- Vascular & Interventional Radiology Physician
- Lynnwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD60926461
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135567 | Medicaid | WA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190712001523 | WA | Practitioner - Diagnostic Radiology | 0547491557 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radia Inc P SCentral Washington Health Services AssociationSwedish Health ServicesSouth Sound Radiologists Inc P S
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
- Swedish Edmonds Hospital
- Providence St Peter Hospital
- Overlake Hospital Medical Center & Clinics
- Evergreenhealth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60926461 | WA | MD | Body Imaging Physician |
| MT207508 | PA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Radiologists Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Internal Medicine | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Radia Imaging Center at Edmonds LLC | Diagnostic Radiology | Current | Accepting new patients |
| Swedish Health Services | Body Imaging | Current | Accepting new patients |
| Radia Inc P S | Diagnostic Radiology | Current | Accepting new patients |
| Evergreen Radia LLC | Diagnostic Radiology | Current | Accepting new patients |
| Central Washington Health Services Association | Current | Accepting new patients | |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radia Imaging Center Holdings LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wenatchee Valley Hospital | Current | 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
WA
-
- Diagnostic Radiology Physician
- Olympia, WA
- NPI 1902990500
Diagnostic Radiology, WA
-
- Diagnostic Radiology Physician
- Kirkland, WA
- NPI 1922095694
Diagnostic Radiology, WA
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1639653017
Diagnostic Radiology, WA
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
Internal Medicine, WA
-
- Diagnostic Radiology Physician
- Edmonds, WA
- NPI 1164494373
Diagnostic Radiology, WA
-
- General Acute Care Hospital
- Wenatchee, WA
- NPI 1881642239
-
- Pharmacy
- Seattle, WA
- NPI 1477988509
-
- Rural Health Clinic/Center
- Oroville, WA
- NPI 1134849920
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
Hospital
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
Hospital
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.