Individual provider Active NPI

Sara B Ahmed, M.D.

  • Pulmonary Disease Physician
  • Staten Island, NY
National Provider Identifier
1679732507
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
258472 Issued in NY
Practice address
2905 Hylan Boulevard
Staten Island, NY 10306-4653
Phone
(718) 351-1212
Fax
(718) 351-4114
NPI assigned
Jun 5, 2008
Last updated
Jun 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 258472 NY Primary

Addresses

Primary practice location

2905 Hylan Boulevard
Staten Island, NY 10306-4653

Mailing address

2905 Hylan Boulevard
Staten Island, NY 10306-4653
Phone (718) 351-1212

Other identifiers 1

IdentifierTypeStateIssuer
03304794MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110331000231 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6901089705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Richmond Pulmonary Medicine PCGroup PAC ID 3678464484, 2 clinicians

Practice addresses (Care Compare)

2905 Hylan Blvd
Staten Island, NY 10306-4653
Phone (718) 351-1212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.48 of 100Reported as apm
Quality
82.91
Promoting interoperability
5.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
78.61
Promoting interoperability
97
Improvement activities
40
Cost
76.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258472NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Oct 4, 2021 Accepting new patients
Amboy Medical Practice PC CurrentSince Oct 4, 2021 Accepting new patients
Richmond Pulmonary Medicine PC Pulmonary Disease CurrentSince Jul 1, 2015 Accepting new patients
Digestive Disease Consultants PC PastSince Jul 1, 2015 Accepting new patients

Locations

2905 Hylan Blvd
Staten Island, NY 10306
Phone (718) 351-1212

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

800 Castleton Ave
Staten Island, NY 10310
Phone (718) 354-3344

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJDAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJDAD/Endpoint/CBJDAD
  • Direct secure messaging: sahmed65991@northwell.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1679732507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 HYLAN BOULEVARD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064653",
            "telephone_number": "718-351-1212",
            "fax_number": "718-351-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 HYLAN BOULEVARD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064653",
            "telephone_number": "718-351-1212",
            "fax_number": "718-351-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SARA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "258472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03304794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.