Individual provider Active NPI

Ahmed Sadiq, MD

  • Medical Oncology Physician
  • Fremont, CA
National Provider Identifier
1700845229
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
A39621 Issued in CA
Practice address
2333 Mowry Ave Ste 300
Fremont, CA 94538-1626
Phone
(510) 796-0222
Fax
(510) 796-7760
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A396210 CA
Medical Oncology Physician 207RX0202X A39621 CA Primary

Addresses

Primary practice location

2333 Mowry Ave Ste 300
Fremont, CA 94538-1626

Mailing address

1900 Mowry Ave
#408
Fremont, CA 94538
Phone (510) 795-0880

Other identifiers 2

IdentifierTypeStateIssuer
00A396210MedicaidCA
171767MedicaidCA

Other names 1

  • Ahmed Kamal Sadiq Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407001269 CA Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Hematology/Oncology 2567419831 Reassigns benefits to 1 organization
Practice locations: Fremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology, Hematology/Oncology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Cardiovascular ConsultantsGroup PAC ID 7810800083, 30 clinicians

Practice addresses (Care Compare)

2333 Mowry Ave
Suite 300
Fremont, CA 94538-1626
Phone (510) 796-0222

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195

Merit-based Incentive Payment System (MIPS)

Final score
64.37 of 100Reported as group
Quality
53.29
Promoting interoperability
0
Improvement activities
40
Cost
87.09

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A396210CAMDHematology & Oncology Physician
A39621CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cardiovascular Consultants Medical Associates Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
California Cardiovascular Consultants Internal Medicine CurrentSince Feb 1, 2020 Accepting new patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Locations

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798

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.

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1700845229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE",
            "address_2": "#408",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-795-0880",
            "fax_number": "510-795-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MOWRY AVE STE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381626",
            "telephone_number": "510-796-0222",
            "fax_number": "510-796-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADIQ",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A396210",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A39621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A396210",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171767",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMED",
            "last_name": "SADIQ",
            "middle_name": "KAMAL",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.