NPIMap

Individual provider Active NPI

Ibrahim Haidar-Ahmad, DO

  • Hospitalist Physician
  • Mineola, NY
National Provider Identifier
1881043453
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
331964 Issued in NY
Practice address
259 1St Street
Winthrop 2 Room 291
Mineola, NY 11501
Phone
(516) 663-8963
Fax
(516) 663-8964
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 331964 NY
Hospitalist Physician 208M00000X 331964 NY Primary

Addresses

Primary practice location

259 1St Street
Winthrop 2 Room 291
Mineola, NY 11501

Mailing address

700 Hicksville Rd Ste 205
Bethpage, NY 11714-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190603002063 MI Practitioner - HospitalistPractitioner - Internal Medicine 3173856382 Reassigns benefits to 1 organization
I20240916001877 NY Practitioner - HospitalistPractitioner - Internal Medicine 3173856382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 630-7000

259 1St St
Mineola, NY 11501-3957
Phone (516) 222-8600

5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Phone (734) 747-6766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
331964NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Hospitalist CurrentSince Jul 1, 2019 Accepting new patients
New York University Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
New York University Internal Medicine CurrentSince Oct 21, 2024 Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2019 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246

5301 McAuley Dr
Ste 2119
Ypsilanti, MI 48197
Phone (734) 712-7255

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

259 1st St
Rm 291
Mineola, NY 11501
Phone (516) 663-8693

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ihaidarahmad668804@nyumc.direct-ci.com
  • Direct secure messaging: ibrahim.haidar-ahmad.1@16555.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1881043453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HICKSVILLE RD STE 205",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143472",
            "fax_number": "212-263-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST STREET",
            "address_2": "WINTHROP 2 ROOM 291",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-663-8963",
            "fax_number": "516-663-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDAR-AHMAD",
        "first_name": "IBRAHIM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "331964",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "331964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.