Individual provider Active NPI

Harris Ahmed, DO, MPH

  • Retina Specialist (Ophthalmology) Physician
  • Palm Desert, CA
National Provider Identifier
1700413317
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
327794 Issued in NY
Practice address
36949 Cook St Ste A101
Palm Desert, CA 92211-6079
Phone
(760) 340-2394
Fax
(760) 340-2369
NPI assigned
Mar 24, 2020
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 20A19818 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X 327794 NY Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 20A19818 CA

Addresses

Primary practice location

36949 Cook St Ste A101
Palm Desert, CA 92211-6079

Mailing address

555 N 13TH Ave
Upland, CA 91786-4904
Phone (800) 345-8979

Other practice location 1

1305 York Ave Fl 11
New York, NY 10021-5663
Phone (646) 962-2020

Other practice location 2

11234 Anderson Street, GME Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone (909) 558-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250204003313 NY Practitioner - OphthalmologyPractitioner - Internal Medicine 4385174473 Reassigns benefits to 2 organizations
I20260610002772 CA Practitioner - Ophthalmology 4385174473

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Faculty Physicians and Surgeons of LlusmGroup PAC ID 1153227814, shared by 6 NPIs, 1,313 clinicians
CTD Network LLCGroup PAC ID 4486025087, 27 clinicians

Practice addresses (Care Compare)

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

442 5TH Ave
Suite 2115
New York, NY 10018-2794
Phone (813) 807-3338

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19818CAMDRetina Specialist (Ophthalmology) Physician
327794NYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Dec 2, 2024 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Weill Medical College of Cornell Ophthalmology CurrentSince Dec 2, 2024 Accepting new patients
CTD Network LLC CurrentSince Jan 30, 2025 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Jul 1, 2026 Accepting new patients
Pacific Eye Institute a Medical Group Inc PastSince Jul 1, 2026 Accepting new patients

Locations

15099 Kamana Rd
Apple Valley, CA 92307

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

1305 York Ave
Fl 11
New York, NY 10021
Phone (646) 962-2020

1305 York Ave
Ste 11
New York, NY 10021
Phone (646) 962-2020

442 5th Ave
#2115
New York, NY 10018

525 E 68th St
Ste 856
New York, NY 10065
Phone (212) 620-3916

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: haa4020@direct.nyp.org

Organizations & group practices 6

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 5

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1700413317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864904",
            "telephone_number": "800-345-8979",
            "fax_number": "909-949-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36949 COOK ST STE A101",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116079",
            "telephone_number": "760-340-2394",
            "fax_number": "760-340-2369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 York Ave Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215663",
            "country_code": "US",
            "telephone_number": "646-962-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson Street, GME Office Westerly Suite C",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "HARRIS",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A19818",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NY",
            "license": "327794",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "20A19818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.