Individual provider Active NPI

Para Ahilan, MD

  • Cardiovascular Disease Physician
  • Staten Island, NY
National Provider Identifier
1811942501
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2128091 Issued in NY
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01921668MedicaidNY

Other names 1

  • Paramanthan Ahilan Former name

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
I20040402000500 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 4880686344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
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

LicenseStateTypeSpecialty
2128091NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Sep 26, 2024 Accepting new patients
Samala R Swamy, MD, PC Cardiovascular Disease PastSince Nov 4, 2009 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 PastSince Nov 1, 2021 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

  • Direct secure messaging: pahilan64542@northwell.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.