Individual provider Active NPI

Jehanara Ahmed, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Beaumont, TX
National Provider Identifier
1770568495
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M2527 Issued in 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
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama-Coushatta Tribe of TexasGroup PAC ID 1658546361, 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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jehanara Ahmed, M.D, P.a. CurrentSince Jul 9, 2013 Accepting new patients
Alabama-Coushatta Tribe of Texas PastSince 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1770568495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014691",
            "telephone_number": "409-434-4069",
            "fax_number": "409-347-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST",
            "address_2": "SUITE 201",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014691",
            "telephone_number": "409-434-4069",
            "fax_number": "409-347-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "JEHANARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "M2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.