Active NPI
Ibrahim Abdulkadir Ahmed, M.D.
- Student in an Organized Health Care Education/Training Program
- Darby, PA
National Provider Identifier
1972113348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Mercy Catholic Medical Center
1500 Lansdowne Avenue
Darby, PA 19023 - Phone
- (610) 237-4684
- NPI assigned
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Mercy Catholic Medical Center
1500 Lansdowne Avenue
Darby, PA 19023
Mailing address
Mercy Catholic Medical Center
1500 Lansdowne Avenue
Darby, PA 19023
Phone (610) 237-4684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230711004594 | WV | Order and Referring Only - Cardiovascular Disease (Cardiology) | 5799144580 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1972113348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MERCY CATHOLIC MEDICAL CENTER",
"address_2": "1500 LANSDOWNE AVENUE",
"city": "DARBY",
"state": "PA",
"postal_code": "19023",
"telephone_number": "610-237-4684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MERCY CATHOLIC MEDICAL CENTER",
"address_2": "1500 LANSDOWNE AVENUE",
"city": "DARBY",
"state": "PA",
"postal_code": "19023",
"telephone_number": "610-237-4684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "IBRAHIM ABDULKADIR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.