Individual provider Active NPI

Ijaz Ahmad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Owings Mills, MD
National Provider Identifier
1659948024
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01786 Issued in MD
Practice address
20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479
Phone
(410) 363-4343
Fax
(410) 356-6373
NPI assigned
Jun 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01786 MD Primary

Addresses

Primary practice location

20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479

Mailing address

342 Stanhope St
Brooklyn, NY 11237-4434
Phone (215) 252-6678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240708003549 MD Practitioner - Podiatry 9335684968 Reassigns benefits to 4 organizations
I20260224001765 NY Practitioner - Podiatry 9335684968 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Medical Associates PCGroup PAC ID 0547673816, 84 clinicians
Podiatry Company LLCGroup PAC ID 5890103097, 20 clinicians

Practice addresses (Care Compare)

1612 Central Ave
Suite 201
Far Rockaway, NY 11691-4002
Phone (516) 792-1600

520 Glenburn Ave
Cambridge, MD 21613-1415
Phone (516) 792-0070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue254
Removal or shaving of skin growth93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01786MDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospital Center, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Northwest Hospital Center, Inc CurrentSince Jan 26, 2025 Accepting new patients
Wiener and Daniels, DPM, PA Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Medical Director Services PC CurrentSince Jan 18, 2026 Accepting new patients
Podiatry Company LLC CurrentSince May 15, 2024 Accepting new patients
Northwest Hospital Center, Inc Current Accepting new patients
Walk Well Podiatry and Wound Care LLC Current Accepting new patients

Locations

1103 N Point Blvd
Ste 424
Baltimore, MD 21224
Phone (410) 285-0850

520 Glenburn Ave
Cambridge, MD 21613
Phone (410) 228-9191

20 Crossroads Dr
Ste 15
Owings Mills, MD 21117
Phone (410) 235-2345

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

6830 Hospital Dr
Ste 104
Rosedale, MD 21237
Phone (410) 391-7200

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

301 Mill Rd
Ste U7
Hewlett, NY 11557

Interoperability endpoints

  • Direct secure messaging: ijaz.ahmad@702.securemail.prognocis.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1659948024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 STANHOPE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374434",
            "telephone_number": "215-252-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175479",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "IJAZ",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.