Jehanara Ahmed, M.D.

Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Beaumont, TX

NPI 1770568495 · NPPES record last updated Aug 14, 2013

Key facts

NPI
1770568495
Entity type
Individual (NPI type 1)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License
M2527 (TX)
Practice address
3070 College St
Suite 201
Beaumont, TX 77701-4691
Phone
(409) 434-4069
Fax
(409) 347-7049
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
Yes

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama-Coushatta Tribe of Texas (4 clinicians)

Practice addresses (Care Compare)

129 Daycare Rd
Livingston, TX 77351-0061
Phone (936) 563-1500

2910 Fannin St
Suite C
Beaumont, TX 77701-3901
Phone (409) 434-4069

Hospital & facility affiliations

  • Baptist Beaumont Hospital Hospital · Beaumont, TX · CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital · Beaumont, TX · CCN 450034
  • Christus Jasper Memorial Hospital Hospital · Jasper, TX · CCN 450573
  • Tyler County Hospital Hospital · Woodville, TX · CCN 450460

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051121000717 TX Practitioner - Endocrinology
Practitioner - Internal Medicine
8820017718 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2527TXMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jehanara Ahmed, M.D, P.a. Current
since Jul 9, 2013
Accepting new patients
Alabama-Coushatta Tribe of Texas Past
since Nov 21, 2024
Accepting new patients

Locations

2910 Fannin St
#C
Beaumont, TX 77701
Phone (409) 434-4069

3070 College St
Ste 201
Beaumont, TX 77701
Phone (409) 434-4069

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGCDCA/Endpoint/GGCDCA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X M2527 TX Yes

Addresses

Primary practice location

3070 College St
Suite 201
Beaumont, TX 77701-4691

Mailing address

3070 College St
Suite 201
Beaumont, TX 77701-4691
Phone (409) 434-4069

Other providers in Beaumont, TX

All providers in Beaumont, TX · Endocrinology, Diabetes & Metabolism Physician in Texas

Sources for this page

Verify at the official NPI Registry.