Active NPI
Anum Ahmed, M.D
- Family Medicine Physician
- San Ramon, CA
National Provider Identifier
1609296441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C191595
- Practice address
- 12677 Alcosta Blvd Ste 240
San Ramon, CA 94583-4413 - Phone
- (925) 838-6511
- NPI assigned
- Apr 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C191595 | CA | Primary |
Addresses
Primary practice location
12677 Alcosta Blvd Ste 240
San Ramon, CA 94583-4413
Mailing address
1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BW2G3 | Other | FL | BLUE CROSS BLUE SHIELD |
| 021637000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20170929000139 | FL | Practitioner - Family Practice | 5597048926 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029
PO Box
Suite 25487
Sarasota, FL 34277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HPP Physicians LLC | Current | Accepting new patients | |
| Samg Inc | Past | Accepting new patients | |
| Florida Medical Specialists LLC | Family Medicine | Past | Accepting new patients |
| John Muir Physician Network | Past | Accepting new patients |
Locations
3844 Bee Ridge Rd
Fl 2
Sarasota, FL 34233
Phone (941) 202-5342
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1184093023
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1164795563
Family Medicine
-
- Primary Care Clinic/Center
- Plymouth Meeting, PA
- NPI 1760103881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1609296441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12677 ALCOSTA BLVD STE 240",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945834413",
"telephone_number": "925-838-6511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "ANUM",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-20",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C191595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "BW2G3",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021637000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.