Omer Ahmed, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A51617 Issued in CA

Practice address

14285 Amargosa Road
Victorville, CA 92392-9707

Phone

(760) 955-7095

Fax

(760) 951-1076

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ahmed Medical Corporation

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1346440500

  Cardiovascular Disease

  Medicare reassignment NPD
• Kelly Ahmed M.D., Inc.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1902277940
  NPD
• Kelly Ahmed M.D., Inc.

  • Primary Care Clinic/Center
  • Victorville, CA
  • NPI 1427484658
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Mary Medical Center

  • Advanced Practice Midwife
  • Apple Valley, CA
  • NPI 1043406440

  Hospital

  Care Compare affiliation
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  Care Compare affiliation
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1710109186
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1962429431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 AMARGOSA ROAD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929707",
            "telephone_number": "760-955-7095",
            "fax_number": "760-951-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 AMARGOSA ROAD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929707",
            "telephone_number": "760-955-7095",
            "fax_number": "760-951-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "OMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A51617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes G Quion M D Inc
• Sergio Aguila, DDS
• Ahmed Medical Corporation
• Kelly Ahmed, MD
• Maerah Ahmed
• Ahura Healthcare Corporation
• Jennifer Aiono
• Ajayi Marriage and Family Therapy, Inc
• Clem Ajayi, RPH
• Tanyanika Ajayi, MA

• Cardiovascular Disease Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.

Verify at the official NPI Registry.