Alam W. Ahmed, MD, MPH
Individual provider Active NPI Internal Medicine Physician · Colorado Springs, CO
NPI 1902425143 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1902425143
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ABIM535315 (CO)
- Practice address
- 1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533 - Phone
- (719) 365-1292
- Fax
- (719) 365-6997
- NPI assigned
- Apr 8, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
900 Franklin Ave
Valley Stream, NY 11580-2145
Phone (516) 256-6000
Hospital & facility affiliations
- Long Island Jewish Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20250715000504 | NY | Practitioner - Internal Medicine | 7911352745 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABIM535315 | CO | MD | Internal Medicine Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current |
Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current |
Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current |
Accepting new patients |
| North Shore - Lij Medical PC | Internal Medicine | Current |
Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
Locations
4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260
1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120
8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633
1400 E Boulder St
#2508
Colorado Springs, CO 80909
Phone (719) 365-1292
1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292
2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412
1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650
300 Community Dr
Plandome, NY 11030
900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ABIM535315 | CO | Yes |
Addresses
Primary practice location
1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Mailing address
2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2403
Other providers in Colorado Springs, CO
- Mika Grace Ahlbrecht Marion
- Hannah Ahlen
- Alexa Ahler
- Hani Ahmad
- Kimia Ahmadian
- Faduma Ahmed
- Kayla Ahmed
- Nida Nousheen Ahmed
- Pranti Ahmed
- Ramia Mumtaz Ahmed
All providers in Colorado Springs, CO · Internal Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 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.