Jibran Ahmad, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Lebanon, NH
NPI 1992066484 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1992066484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 16938 (NH)
- Practice address
- 1 Medical Center Dr
DHMC - Radiology
Lebanon, NH 03756-1000 - Phone
- (603) 650-4371
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dartmouth-Hitchcock Clinic
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400
PO Box
Suite 810
Hanover, NH 03755-0810
Hospital & facility affiliations
- Mary Hitchcock Memorial Hospital
- Huggins Hospital
- Cheshire Medical Center
- Springfield Hospital
- New London Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150422001166 | NH | Practitioner - Diagnostic Radiology | 4880917137 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16938 | NH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current |
Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Diagnostic Radiology | Current |
Accepting new patients |
Locations
173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000
Interoperability endpoints
- jahmad167466@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 16938 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
DHMC - Radiology
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC - Radiology
Lebanon, NH 03756-1000
Phone (603) 650-4371
NPI Registry JSON
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1992066484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC - RADIOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-4371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC - RADIOLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-650-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "JIBRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NH",
"license": "16938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
- Rosemary Jean Affeldt
- Affirm Medical Group PLLC
- Muhammad Zubair Afzal
- Christopher G Ahern
- Kaitlyn Page Ahlers
- Shawn M Ahmad
- Sophia Ahmad
- Amina Fathima Ahmed
- Sara Ahmed
- Safiya Aijazi
All providers in Lebanon, NH · Diagnostic Radiology Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.