Active NPI
Tariq Ahmed, M.D., M.P.H.
- Family Medicine Physician
- Bellevue, WA
National Provider Identifier
1710940291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00030967
- Practice address
- 1805 136TH PL NE
Suite103
Bellevue, WA 98005-2331 - Phone
- (425) 957-4484
- NPI assigned
- Apr 7, 2006
- Last updated
- Jun 10, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00030967 | WA | Primary |
| Internal Medicine Physician | 207R00000X | MD00030967 | WA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 30967 | WA |
Addresses
Primary practice location
1805 136TH PL NE
Suite103
Bellevue, WA 98005-2331
Mailing address
1805 136TH PL NE
Suite 103
Bellevue, WA 98005-2331
Phone (425) 957-4484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00030967 | WA | MD | Family Medicine Physician |
| 30967 | WA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific County Hospital District 2 | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Bellevue, WA
- NPI 1487986360
-
dba Willapa Harbor Hospital
- Critical Access Hospital
- South Bend, WA
- NPI 1295708683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1710940291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 136TH PL NE",
"address_2": "SUITE 103",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052331",
"telephone_number": "425-957-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 136TH PL NE",
"address_2": "SUITE103",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980052331",
"telephone_number": "425-957-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "TARIQ",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00030967",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00030967",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "WA",
"license": "30967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.