Active NPI
Mejdi Ahmad, M.D.
- Gastroenterology Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 204245-1
- Practice address
- 775 Park Ave
Suite 115
Huntington, NY 11743-3976 - Phone
- (631) 659-4150
- Fax
- (631) 659-4199
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 204245-1 | NY | Primary |
Addresses
Primary practice location
775 Park Ave
Suite 115
Huntington, NY 11743-3976
Mailing address
775 Park Ave
Suite 115
Huntington, NY 11743-3976
Phone (631) 659-4150
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02199544 | Medicaid | NY | |
| 015AP2 | Other | NY | BLUE CROSS/ BLUE SHIELD |
| 2595081 | Other | NY | GHI |
| 4C0571 | Other | NY | HEALTHNET |
| P2470796 | Other | NY | OXFORD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
373 W Main St
Babylon, NY 11702-3023
Phone (516) 750-8000
380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000
750 Old Country Rd
BLDG 2
Riverhead, NY 11901-2153
Phone (631) 450-1500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 58 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204245-1 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Office of Manhattan PLLC | Current | Accepting new patients | |
| Digestive Disease Care, PC | Gastroenterology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000
201 E 65th St
New York, NY 10065
Phone (212) 879-4700
11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747
750 Old Country Rd
Bldg 2
Riverhead, NY 11901
Phone (631) 450-1500
235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
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.
-
- Gastroenterology Physician
- East Setauket, NY
- NPI 1184871774
-
dba Manhattan Cardiovascular
- Cardiovascular Disease Physician
- New York, NY
- NPI 1952528796
-
dba Icahn School of Medicine Pharmacy
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1760492250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "775 PARK AVE",
"address_2": "SUITE 115",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433976",
"telephone_number": "631-659-4150",
"fax_number": "631-659-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PARK AVE",
"address_2": "SUITE 115",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433976",
"telephone_number": "631-659-4150",
"fax_number": "631-659-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "MEJDI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "204245-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02199544",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "015AP2",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2595081",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C0571",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2470796",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.