Active NPI
Ahmad Edris, M.D.
- Interventional Cardiology Physician
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A98251
- Practice address
- 30 Garden CT
Monterey, CA 93940-5302 - Phone
- (831) 647-1123
- Fax
- (831) 886-3647
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A98251 | CA | |
| Interventional Cardiology Physician | 207RI0011X | A98251 | CA | Primary |
Addresses
Primary practice location
30 Garden CT
Monterey, CA 93940-5302
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- University of California, Irvine, California College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Garden CT
B
Monterey, CA 93940-5302
Phone (831) 647-1123
Hospital & facility affiliations
- Community Hospital of the Monterey Peninsula
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.59 of 100
- Quality
- 81.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 43 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Current | Accepting new patients | |
| Montage Medical Group | Current | Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Current | Accepting new patients |
Locations
23845 Holman Hwy
Ste 109
Monterey, CA 93940
Phone (415) 353-7449
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
30 Garden Ct
Monterey, CA 93940
Phone (831) 646-8570
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123
23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Carmel, CA
- NPI 1770710709
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1225285810
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1689890808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WILSON RD STE 100",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939407885",
"telephone_number": "831-649-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GARDEN CT",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405302",
"telephone_number": "831-647-1123",
"fax_number": "831-886-3647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDRIS",
"first_name": "AHMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A98251",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A98251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.