Raheel Ahmed MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME71089 Issued in FL

Legal business name

RAHEEL AHMED MD PA

Practice address

1900 Nebraska Ave
Suite 3
Fort Pierce, FL 34950-4837

Phone

(772) 465-8089

Fax

(772) 465-8091

NPI assigned

Jan 24, 2007

Reactivated

May 17, 2010

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raheel Ahmed, MDNPI 1629047816

Title

Physician/Owner

Phone

(772) 465-8089

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raheel Ahmed, MD

  • Internal Medicine Physician
  • Fort Pierce, FL
  • NPI 1629047816
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1760537559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 SW MARSH HARBOR BAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863439",
            "telephone_number": "772-465-8089",
            "fax_number": "772-465-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 3",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-465-8089",
            "fax_number": "772-465-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHEEL AHMED MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-01-13",
        "deactivation_date": "2008-08-01",
        "reactivation_date": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "RAHEEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "772-465-8089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250869900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31418",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Satona Quince, MBA,PNHNP-BC,FNP-BC
• Christina Maria Quintero, MSW
• R Edward Montejo MD PA
• Rad Onc Group LLC
• Pedram Rad, MD
• Syed Shafeeq Ur Rahman, M.D.
• Rai Care Centers of Florida I, LLC (Rai - Ohio Avenue - Fort Pierce)
• Mary Louise Rainer, LM
• Jennifer Renee Rainey, CRNA
• Gauresh Ramakrishna

• Internal Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.