Yasmina Ahmed, M.D.

Individual provider Active NPI Otolaryngology Physician · Blaine, MN

NPI 1982053989 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1982053989
Entity type
Individual (NPI type 1)
Primary specialty
Otolaryngology Physician 207Y00000X
License
71394 (MN)
Practice address
4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544
Phone
(888) 938-3838
Fax
(888) 919-1083
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Otolaryngology
Education
University of Nevada School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Institutes LLC (12 clinicians)

Practice addresses (Care Compare)

9325 Upland LN N
Suite 200
Maple Grove, MN 55369-4443
Phone (888) 938-3838

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220708002451 MN Practitioner - Otolaryngology 2860733771 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Institutes, LLC Otolaryngology Current
since Jun 24, 2022
Accepting new patients
Clifton Eye Care LLC Past Accepting new patients

Locations

845 Vikings Pkwy
Ste B
Eagan, MN 55121
Phone (651) 650-0500

6640 Shady Oak Rd
Ste 255
Eden Prairie, MN 55344

9325 Upland Ln N
Ste 200
Maple Grove, MN 55369

4365 Pheasant Ridge Dr NE
Ste 106
Minneapolis, MN 55449
Phone (763) 296-3277

8401 Seasons Pkwy
Ste 300
Woodbury, MN 55125

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 71394 MN Yes

Addresses

Primary practice location

4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 55449-4544

Mailing address

10001 W Innovation Dr Ste 200
Milwaukee, WI 53226-4851
Phone (888) 938-3838

Other providers in Blaine, MN

All providers in Blaine, MN · Otolaryngology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.