Dina Sufian Ahmad, M.D.
Individual provider Active NPI Gastroenterology Physician · Cary, NC
NPI 1831484005 · NPPES record last updated May 1, 2023
Key facts
- NPI
- 1831484005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 59794 (TN)
- Practice address
- 110 Kildaire Park Dr
Cary, NC 27518-8161 - Phone
- (919) 235-6440
- NPI assigned
- Jun 15, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wakemed Specialists Group LLC
Practice addresses (Care Compare)
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-7856
Hospital & facility affiliations
- Wakemed, Cary Hospital
- Wakemed, Raleigh Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 56 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 123 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20220903000340 | NC | Practitioner - Gastroenterology | 5395972863 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011014980 | MO | MD | Internal Medicine Physician |
| 59794 | TN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group LLC | Current |
Accepting new patients | |
| Wakemed Specialists Group, LLC | Gastroenterology | Current |
Accepting new patients |
| Wakemed Specialists Group, LLC | Gastroenterology | Current | Accepting new patients |
| Alegent Creighton Clinic | Internal Medicine | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
Interoperability endpoints
- dahmad421898@directhisp.wakemed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2011014980 | MO | |
| Gastroenterology Physician | 207RG0100X | 30087 | NE | |
| Gastroenterology Physician | 207RG0100X | 59794 | TN | Yes |
Addresses
Primary practice location
110 Kildaire Park Dr
Cary, NC 27518-8161
Mailing address
110 Kildaire Park Dr
Cary, NC 27518-8161
Phone (919) 235-6440
Other providers in Cary, NC
- Octavia Agurs
- Thomas Joseph Ahart
- Ahava Healthcare, PLLC
- Ahava Healthcare, PLLC
- Arbaz Ahmad
- Sarah Ahmed
- Syeda Najia Ahsan
- Gabrielle Aiello
- Ak Cary LLC
- Oyediya Okor Akaronu
All providers in Cary, NC · Gastroenterology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2023. 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.