Individual provider Active NPI

Nauman Ahmad, M.D.

  • Pediatric Cardiology Physician
  • Federal Way, WA
National Provider Identifier
1932362530
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
60926635 Issued in WA
Practice address
32124 1St Ave S Ste 100
Federal Way, WA 98003-5761
Phone
(253) 661-5939
Fax
(253) 661-5929
NPI assigned
Jul 3, 2008
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 260056 NY
Pediatric Cardiology Physician 2080P0202X 2600561 NY
Pediatric Cardiology Physician 2080P0202X 60926635 WA Primary

Addresses

Primary practice location

32124 1St Ave S Ste 100
Federal Way, WA 98003-5761

Mailing address

32124 1St Ave S Ste 100
Federal Way, WA 98003-5761
Phone (253) 661-5939

Other practice location 1

68 Harris Bushville Rd
Harris, NY 12742
Phone (845) 333-8484

Other practice location 2

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-3370

Other identifiers 2

IdentifierTypeStateIssuer
2127660MedicaidWA
03374105MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL FWPH Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2600561NYMDPediatric Cardiology Physician
60926635WAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Health System Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1932362530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32124 1ST AVE S STE 100",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035761",
            "telephone_number": "253-661-5939",
            "fax_number": "253-661-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Harris Bushville Rd",
            "address_purpose": "LOCATION",
            "city": "Harris",
            "state": "NY",
            "postal_code": "12742",
            "country_code": "US",
            "telephone_number": "845-333-8484",
            "fax_number": "845-794-5675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-3370",
            "fax_number": "845-333-3372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "NAUMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "260056",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "2600561",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "WA",
            "license": "60926635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127660",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03374105",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FWPH",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32124 1st Ave S Ste 100",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980035761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.