Rounak Ahmed
Individual provider Active NPI Family Medicine Physician · Jackson Heights, NY
NPI 1669500211 · NPPES record last updated Nov 23, 2011
Key facts
- NPI
- 1669500211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 214574 (NY)
- Practice address
- 3728 77TH St
Jackson Heights, NY 11372-6630 - Phone
- (718) 335-7378
- Fax
- (718) 335-1071
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Rest Medical Care PC
Practice addresses (Care Compare)
3728 77TH St
Jackson Heights, NY 11372-6630
Phone (718) 335-7378
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080614000019 | NY | Practitioner - Family Practice | 3274604517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214574 | NY | MD | Family Medicine Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rest Medical Care PC | Family Medicine | Current |
Accepting new patients |
Locations
3849 Boston Rd
Bronx, NY 10466
Phone (718) 231-0440
3728 77th St
Jackson Heights, NY 11372
Phone (718) 335-7378
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 214574 | NY | Yes |
Addresses
Primary practice location
3728 77TH St
Jackson Heights, NY 11372-6630
Mailing address
915 Split Rock Rd
Pelham, NY 10803-3109
Phone (914) 882-0928
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01957602 | Medicaid | NY |
Other providers in Jackson Heights, NY
- Eneida Agosto-Colon
- Aktar Ahmed
- Faruque Ahmed
- Hosne Fahmida Ahmed
- Mustaque Ahmed
- Sayma Ahmed
- Sultan Ahmed
- Tarik Silva Ahmed
- Carolle Aime
- Gina Akopyan
All providers in Jackson Heights, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.