Individual provider Active NPI

Raheel Ahmed, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1629047816
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 0071089 Issued in FL
Practice address
2215 Nebraska Ave
Suite 3-B
Fort Pierce, FL 34950-4864
Phone
(772) 465-8089
Fax
(772) 465-8091
NPI assigned
Mar 17, 2006
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 0071089 FL Primary

Addresses

Primary practice location

2215 Nebraska Ave
Suite 3-B
Fort Pierce, FL 34950-4864

Mailing address

2215 Nebraska Ave
Suite 3-B
Fort Pierce, FL 34950-4864
Phone (772) 465-8089

Other identifiers 2

IdentifierTypeStateIssuer
256839900MedicaidFL
1629047816OtherFLCURRENT NPI

Other names 1

  • Raheel Ahmed Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000265 FL Practitioner - Internal Medicine 9032201827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2215 Nebraska Ave
Suite 3B
Fort Pierce, FL 34950-4867
Phone (772) 465-8089

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0071089FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raheel Ahmed MD PA Internal Medicine CurrentSince Sep 1, 2010 Accepting new patients

Locations

1900 Nebraska Ave
Ste 3
Fort Pierce, FL 34950
Phone (772) 465-8089

2215 Nebraska Ave
Ste 3-B
Fort Pierce, FL 34950
Phone (772) 465-2500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGEAA/Endpoint/BFGEAA

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1629047816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE 3-B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-465-8089",
            "fax_number": "772-465-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE",
            "address_2": "SUITE 3-B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504864",
            "telephone_number": "772-465-8089",
            "fax_number": "772-465-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "RAHEEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 0071089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256839900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURRENT NPI",
            "identifier": "1629047816",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHEEL",
            "last_name": "AHMED",
            "credential": "M.D. P.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.