Kelly Ahmed, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A51407 Issued in CA

Practice address

14285 Amargosa Rd
Victorville, CA 92392-9707

Phone

(760) 955-7095

NPI assigned

Jul 7, 2006

Last updated

Sep 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kelly Ahmed MD IncGroup PAC ID 7517277643, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Whittier Home Health Care, Inc. Home health agency, Whittier, CA, CCN 757862
• Bear Valley Community Hospital Hospital, Big Bear Lake, CA, CCN 051335

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kelly Ahmed M.D., Inc.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1902277940
  Medicare reassignment Care Compare group NPD Authorized official
• Ahmed Medical Corporation

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1346440500
  Authorized official Same address or phone
• Kelly Ahmed M.D., Inc.

  • Primary Care Clinic/Center
  • Victorville, CA
  • NPI 1427484658
  NPD (past) Authorized official
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bear Valley Community Health Care District

  dba Bear Valley Community Hospital

  • Long Term Care Pharmacy
  • Big Bear Lake, CA
  • NPI 1073553756

  Hospital

  Care Compare affiliation
• Whittier Home Health Care, Inc.

  • Home Health Agency
  • Whittier, CA
  • NPI 1669148490
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1659303998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 AMARGOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929707",
            "telephone_number": "760-955-7095",
            "fax_number": "760-951-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 AMARGOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929707",
            "telephone_number": "760-955-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agc Medical Supply Inc.
• Sahil Aggarwal, MD
• Agnes G Quion M D Inc
• Sergio Aguila, DDS
• Ahmed Medical Corporation
• Maerah Ahmed
• Omer Ahmed, MD
• Ahura Healthcare Corporation (Inland Pain Specialists)
• Jennifer Aiono
• Ajayi Marriage and Family Therapy, Inc

• Family Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.

Verify at the official NPI Registry.