Shahid Sattar Ahmed, MBBS
Individual provider Active NPI Hematology & Oncology Physician · Atlanta, GA
NPI 1841555083 · NPPES record last updated Sep 10, 2024
Key facts
- NPI
- 1841555083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 101736 (GA)
- Practice address
- 550 Peachtree St NE
Atlanta, GA 30308-2212 - Phone
- (404) 686-4411
- NPI assigned
- Jul 12, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Medical Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Emory Medical Care Foundation Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
- Emory University Hospital Midtown
- Emory Decatur Hospital
- Grady Memorial Hospital
- Emory University Hospital
- Univ. of Vermont - Fletcher Allen Health Care
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20241024003205 | GA | Practitioner - Medical Oncology |
8123268257 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101736 | GA | MD | Hematology & Oncology Physician |
| 042-0014353 | VT | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Hematology & Oncology | Current |
Accepting new patients |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| Crawford Long Hospital | Past | Accepting new patients | |
| Emory Health Care | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144
Interoperability endpoints
- sahmed970939@direct.emory.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 042-0014353 | VT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11016633A | IN | |
| Hematology & Oncology Physician | 207RH0003X | 101736 | GA | Yes |
Addresses
Primary practice location
550 Peachtree St NE
Atlanta, GA 30308-2212
Mailing address
110 Nottingham LN
Burlington, VT 05408-2483
Phone (267) 475-4270
Other practice location 1
1120 South Drive
224 Fesler Hall
Indianapolis, IN 46202-5135
Phone (317) 274-8282
Other practice location 2
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Other providers in Atlanta, GA
- Mariam Ahmed
- Mohamed Tarek Seleem Ahmed
- Mustapha Ahmed
- Nebil Ahmed
- Reem A Ahmed
- Taha Ahmed
- Tasnim Ahmed
- Yasmin Zanjabil Ahmed
- Zuhair Khazisyed Ahmed
- Amy Yeunju Ahn
All providers in Atlanta, GA · Hematology & Oncology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. 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.