Active NPI
Para Ahilan, MD
- Cardiovascular Disease Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2128091
- Practice address
- 11 Ralph PL
Suite 109
Staten Island, NY 10304-4419 - Phone
- (718) 981-3674
- Fax
- (718) 981-5003
- NPI assigned
- May 23, 2006
- Last updated
- Feb 5, 2019
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2128091 | NY | Primary |
Addresses
Primary practice location
11 Ralph PL
Suite 109
Staten Island, NY 10304-4419
Mailing address
11 Ralph PL
Suite 109
Staten Island, NY 10304-4419
Phone (718) 981-3674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01921668 | Medicaid | NY |
Other names 1
- Paramanthan Ahilan
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11 Ralph PL
Suite 201
Staten Island, NY 10304-4405
Phone (718) 981-2684
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2128091 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Cardiovascular Disease | Current | Accepting new patients |
| Samala R Swamy, MD, PC | Cardiovascular Disease | Past | Accepting new patients |
| University Group Medical Associates, P.C | Past | Accepting new patients | |
| Bard Cardiology Associates, PC | Cardiovascular Disease | Past | Accepting new patients |
| Zahir H Rahman MD PLLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
11 Ralph Pl
Ste 201
Staten Island, NY 10304
Phone (718) 556-6565
1441 South Ave
Staten Island, NY 10314
Phone (332) 243-2315
1441 South Ave
Ste 205
Staten Island, NY 10314
476 Klondike Ave
Staten Island, NY 10314
Phone (718) 494-7670
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- pahilan64542@northwell.direct-ci.com
- paraahilan@ccsi.allscriptsdirect.net
Organizations & group practices 5
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.
-
dba Mt Sinai Doctors Staten Island Medicine
- Hematology & Oncology Physician
- Staten Island, NY
- NPI 1457867707
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1366513152
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1003067091
-
dba Coney Island Medical Group
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1598413759
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1407877137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1811942501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 RALPH PL",
"address_2": "SUITE 109",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044419",
"telephone_number": "718-981-3674",
"fax_number": "718-981-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RALPH PL",
"address_2": "SUITE 109",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103044419",
"telephone_number": "718-981-3674",
"fax_number": "718-981-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHILAN",
"first_name": "PARA",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "2128091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01921668",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PARAMANTHAN",
"last_name": "AHILAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.