Jamal J Ahmed, MD
Individual provider Active NPI Clinical Cardiac Electrophysiology Physician · East Syracuse, NY
NPI 1831112440 · NPPES record last updated Mar 2, 2020
Key facts
- NPI
- 1831112440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Cardiac Electrophysiology Physician 207RC0001X
- License
- 255144 (NY)
- Practice address
- 6700 Kirkvilled Rd
Ste 203
East Syracuse, NY 13057-9313 - Phone
- (315) 277-2707
- Fax
- (315) 505-1665
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiac Electrophysiology Consultants LLC
Practice addresses (Care Compare)
6700 Kirkville Rd
Suite 203
East Syracuse, NY 13057-9313
Phone (315) 277-2707
Hospital & facility affiliations
- St Joseph'S Hospital Health Center
- University Hospital S U N Y Health Science Center
- Samaritan Medical Center
- Oswego Hospital
- Gouverneur Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 48 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070605000541 | NY | Practitioner - Cardiac Electrophysiology |
4385742980 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002641 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates PC | Current |
Accepting new patients | |
| United Health Services Hospitals, Inc. | Current |
Accepting new patients | |
| Crouse Health Hospital Inc | Current |
Accepting new patients | |
| United Medical Associates, P.C. | Current |
Accepting new patients | |
| Cardiac Electrophysiology Consultants LLC | Clinical Cardiac Electrophysiology | Current |
Accepting new patients |
| Crouse Health Hospital, Inc. | Current |
Accepting new patients |
Locations
6700 Kirkville Rd
Ste 203
East Syracuse, NY 13057
Phone (315) 277-2707
810 S 1st St
Fulton, NY 13069
Phone (315) 277-2707
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
30 Harrison St
Ste 250
Johnson City, NY 13790
Phone (607) 763-6580
179 River St
Oneonta, NY 13820
Phone (607) 432-8477
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144
1116 Arsenal St
Ste 502
Watertown, NY 13601
Phone (315) 277-2707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 255144 | NY | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 255144 | NY | Yes |
Addresses
Primary practice location
6700 Kirkvilled Rd
Ste 203
East Syracuse, NY 13057-9313
Mailing address
6700 Kirkvilled Rd
Suite 203
East Syracuse, NY 13057
Phone (315) 277-2707
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02838613 | Medicaid | NY |
Other providers in East Syracuse, NY
- Christopher Adiletta
- Colleen Patricia Adler
- Aref Agheli
- Kerry Ann Ahern
- Jasmine Ahmadi
- Ali A Al-Mudamgha
- Stephen A Albanese
- Align Chiropractic & Massage PLLC
- Martha G. Aliwalas
- Alkira Marriage and Family Therapy PC
All providers in East Syracuse, NY · Clinical Cardiac Electrophysiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.