Individual provider Active NPI

Shahabuddin Ahmad, MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1972525236
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
137925 Issued in NY
Practice address
953 49TH St
Brooklyn, NY 11219-2923
Phone
(718) 283-8398
Fax
(718) 283-6860
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 137925 NY Primary

Addresses

Primary practice location

953 49TH St
Brooklyn, NY 11219-2923

Mailing address

953 49TH St
Brooklyn, NY 11219-2923
Phone (718) 283-8398

Other identifiers 1

IdentifierTypeStateIssuer
00596043MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20100319000528 NY Practitioner - General Surgery 1850426545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maimonides Medical Center General Surgery FPPGroup PAC ID 5193893899, 13 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6897

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center General Surgery FPP Surgery CurrentSince Mar 1, 2010 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Apr 18, 2020 Accepting new patients
Maimonides Medical Center Current Accepting new patients
MMC Surgical Oncology Associates Past Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Past Accepting new patients

Locations

948 48th St
Fl 2
Brooklyn, NY 11219
Phone (718) 283-7219

948 48th St
Fl 3
Brooklyn, NY 11219
Phone (718) 283-7403

4813 9th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 283-7470

953 49th St
Brooklyn, NY 11219
Phone (718) 283-8225

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: shahabuddinahmad@mai.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1972525236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-8398",
            "fax_number": "718-283-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 49TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192923",
            "telephone_number": "718-283-8398",
            "fax_number": "718-283-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SHAHABUDDIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "137925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00596043",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.