NPIMap

Organization Active NPI

Samir Ahmad,MD,PA

  • Geriatric Medicine (Internal Medicine) Physician
  • El Paso, TX
National Provider Identifier
1942266747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
K9475 Issued in TX
Legal business name
SAMIR AHMAD,MD,PA
Practice address
1600 N Lee Trevino Dr
Ste# B4
El Paso, TX 79936-5169
Phone
(915) 629-8100
Fax
(915) 629-8103
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samir Abed Ahmad, M.D
Title
President
Phone
(915) 629-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X K9475 TX Primary

Addresses

Primary practice location

1600 N Lee Trevino Dr
Ste# B4
El Paso, TX 79936-5169

Mailing address

1600 N Lee Trevino Dr
Ste# B4
El Paso, TX 79936-5169
Phone (915) 629-8100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942266747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N LEE TREVINO DR",
            "address_2": "STE# B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365169",
            "telephone_number": "915-629-8100",
            "fax_number": "915-629-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N LEE TREVINO DR",
            "address_2": "STE# B4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365169",
            "telephone_number": "915-629-8100",
            "fax_number": "915-629-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIR AHMAD,MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "ABED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-629-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.