Active NPI
Dina Sufian Ahmad, M.D.
- Gastroenterology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 59794
- Practice address
- 110 Kildaire Park Dr
Cary, NC 27518-8161 - Phone
- (919) 235-6440
- NPI assigned
- Jun 15, 2011
- Last updated
- May 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2011014980 | MO | |
| Gastroenterology Physician | 207RG0100X | 30087 | NE | |
| Gastroenterology Physician | 207RG0100X | 59794 | TN | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3024 New Bern Ave
Raleigh, NC 27610-1247
Phone (919) 350-7856
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 56 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 123 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 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
110 Kildaire Park Dr
Cary, NC 27518
Phone (919) 235-0616
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
Interoperability endpoints
- dahmad421898@directhisp.wakemed.org
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
Gastroenterology
-
dba WakeMed - Virtual Cardiac Rehab
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Gastroenterology Physician
- Raleigh, NC
- NPI 1356906705
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1831484005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KILDAIRE PARK DR",
"city": "CARY",
"state": "NC",
"postal_code": "275188161",
"telephone_number": "919-235-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KILDAIRE PARK DR",
"city": "CARY",
"state": "NC",
"postal_code": "275188161",
"telephone_number": "919-235-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "DINA",
"middle_name": "SUFIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2011014980",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NE",
"license": "30087",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TN",
"license": "59794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.