Individual provider Active NPI

Ahmed Hassan Ewida, MD

  • Internal Medicine Physician
  • New Haven, CT
National Provider Identifier
1720462021
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
72008 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-1734
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 294638 NY
Hospitalist Physician 208M00000X 294638 NY
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 72008 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

20 York Street, CB-329
New Haven, CT 06510-3220
Phone (203) 688-4748

Other practice location 1

134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 428-5074

Other practice location 2

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 723-7769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20180816001188 NY Practitioner - Internal MedicinePractitioner - Hospitalist 2264781764 Reassigns benefits to 5 organizations
I20220908002171 CT Practitioner - Internal MedicinePractitioner - Hospitalist 2264781764 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
294638NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc CurrentSince Jul 29, 2023 Accepting new patients
Guthrie Medical Group, P.C. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
New York Medical Physician Associates PC Internal Medicine CurrentSince May 7, 2024 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Apr 18, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Nov 1, 2022 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 1, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Middlesex Hospital Internal Medicine CurrentSince Jul 5, 2023 Accepting new patients
Middlesex Hospital CurrentSince Jul 5, 2023 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Internal Medicine CurrentSince Apr 18, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2023 Accepting new patients
Midstate Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 1, 2023 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 29, 2023 Accepting new patients
Midstate Medical Center CurrentSince Nov 1, 2022 Accepting new patients
New York Medical Physician Associates PC Hospitalist CurrentSince May 7, 2024 Accepting new patients
Prospect CT Medical Foundation, Inc. Internal Medicine CurrentSince Sep 22, 2022 Accepting new patients

Locations (25 of 26)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

20 York St
Unit CB2041
New Haven, CT 06510
Phone (203) 688-4741

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

20 York St
North Haven, CT 06510
Phone (203) 688-2433

81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

515 Main St
Olean, NY 14760
Phone (716) 373-2600

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

241 North Rd
Poughkeepsie, NY 12601
Phone (845) 431-8889

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

Interoperability endpoints

  • Direct secure messaging: aewida161369@direct-guthrie.org
  • Direct secure messaging: aewida83621@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: aewida461894@xdr.hhchealthdirect.org
  • Direct secure messaging: aewida617036@direct.ynhh.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 9

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1720462021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK STREET, CB-329",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4748",
            "fax_number": "203-688-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-1734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Homer Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "130451206",
            "country_code": "US",
            "telephone_number": "607-428-5074",
            "fax_number": "607-758-8210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14626",
            "country_code": "US",
            "telephone_number": "585-723-7769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWIDA",
        "first_name": "AHMED",
        "middle_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2023-08-09",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "294638",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "294638",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "72008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.