Individual provider Active NPI

Mohamed Abdelmegeed Abdella Ahmed, MD

  • Orthopaedic Surgery Physician
  • Astoria, NY
National Provider Identifier
1780818609
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
264641 Issued in NY
Practice address
3060 Crescent St Ste B
Astoria, NY 11102-3239
Phone
(718) 502-6161
NPI assigned
May 6, 2009
Last updated
May 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Orthopaedic Surgery Physician 207X00000X 264641 NY Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 264641 NY

Addresses

Primary practice location

3060 Crescent St Ste B
Astoria, NY 11102-3239

Mailing address

3060 Crescent St Ste B
Astoria, NY 11102-3239
Phone (718) 502-6161

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000690 NY Practitioner - Orthopedic Surgery 2860640034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunts Points Medical Associates Office P.C.Group PAC ID 6709191802, 2 clinicians

Practice addresses (Care Compare)

887 Hunts Point Ave
FRNT 1
Bronx, NY 10474-5412
Phone (718) 576-2512

9857 Corona Ave
Corona, NY 11368-2784
Phone (347) 608-5113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264641NYMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Medical Care P.C. Orthopaedic Surgery CurrentSince Aug 20, 2012 Accepting new patients
Jameela Medical PLLC Orthopaedic Surgery PastSince Aug 20, 2012 Accepting new patients

Locations

9857 Corona Ave
Corona, NY 11368
Phone (347) 608-5113

5723 141st St
Flushing, NY 11355
Phone (718) 661-2222

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1780818609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 CRESCENT ST STE B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023239",
            "telephone_number": "718-502-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 CRESCENT ST STE B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023239",
            "telephone_number": "718-502-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "MOHAMED",
        "middle_name": "ABDELMEGEED ABDELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "264641",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "264641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.