Active NPI
Shoaib Ahmed, M.D.
- Internal Medicine Physician
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 170246
- Practice address
- 161 Riverside Dr
Suite 306
Binghamton, NY 13905-4176 - Phone
- (607) 798-6700
- Fax
- (607) 798-6745
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 170246 | NY | Primary |
Addresses
Primary practice location
161 Riverside Dr
Suite 306
Binghamton, NY 13905-4176
Mailing address
161 Riverside Dr
Suite 306
Binghamton, NY 13905-4176
Phone (607) 798-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01051330 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Tier Pathology Associates, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
161 Riverside Dr
Ste 306
Binghamton, NY 13905
Phone (607) 798-6700
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
39 E Main St
Hancock, NY 13783
Phone (607) 637-5700
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
Internal Medicine
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1699871103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 RIVERSIDE DR",
"address_2": "SUITE 306",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054176",
"telephone_number": "607-798-6700",
"fax_number": "607-798-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 RIVERSIDE DR",
"address_2": "SUITE 306",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139054176",
"telephone_number": "607-798-6700",
"fax_number": "607-798-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SHOAIB",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "170246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01051330",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.