Active NPI
Imrana Ahmed, D.O.
- Family Medicine Physician
- Bellport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 271005
- Practice address
- 515 Bellport Ave
Bellport, NY 11713-1711 - Phone
- (631) 227-6600
- Fax
- (631) 286-8290
- NPI assigned
- Dec 2, 2010
- Last updated
- Aug 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 271005 | NY | Primary |
Addresses
Primary practice location
515 Bellport Ave
Bellport, NY 11713-1711
Mailing address
515 Bellport Ave
Bellport, NY 11713-1711
Phone (631) 227-6600
Other names 1
- Imrana Ahmed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3360 Route 343
Amenia, NY 12501-5619
Phone (845) 838-7038
550 Montauk Hwy
Shirley, NY 11967-2114
Phone (631) 490-3040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookhaven Memorial Hospital Medical Center | Family Medicine | Current | Accepting new patients |
| Brookhaven Memorial Hospital Medical Center, Inc. | Current | Accepting new patients | |
| Sun River Health Inc | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Long Island Community Hospital at NYU Langone Health | Current | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
6 Henry St
Beacon, NY 12508
Phone (845) 831-0400
515 Bellport Ave
Bellport, NY 11713
Phone (631) 227-6600
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
dba Brookhaven Memorial Hospital Palliative Care Dept.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Patchogue, NY
- NPI 1417232760
-
dba Brookhaven Memorial Hospital Bellport Primary Care Center Physicians
- Family Medicine Physician
- Bellport, NY
- NPI 1184041899
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Shirley, NY
- NPI 1902029796
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NYU Langone Hospitals - Suffolk
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Patchogue, NY
- NPI 1013724061
Hospital
-
dba NYU Langone Hospital - Suffolk
- General Acute Care Hospital
- Patchogue, NY
- NPI 1831910355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1891097416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 BELLPORT AVE",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117131711",
"telephone_number": "631-227-6600",
"fax_number": "631-286-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 BELLPORT AVE",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117131711",
"telephone_number": "631-227-6600",
"fax_number": "631-286-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "IMRANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "271005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IMRANA",
"last_name": "AHMED",
"credential": "D.O.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.