KAMRUZ JAHAN AHMED PA-C
NPI 1063975381
Physician Assistant - Medical in Stamford, CT

Active since April 12, 2019PECOS Enrolled
4 HOSPITAL PLZ STE 102, STAMFORD, CT 06902(203) 276-2330 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Apr 12, 2019 (2 updates tracked since 2019).

About Kamruz Jahan Ahmed Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAMRUZ JAHAN AHMED PA-C (NPI 1063975381) is an individual medical provider in Stamford, Connecticut, licensed in Connecticut (4455) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1063975381
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAMRUZ JAHAN AHMEDCredential: PA-C
Location Address4 HOSPITAL PLZ STE 102Stamford, CT 06902-3602
Mailing Address4 Hospital Plz Ste 102Stamford, CT 06902-3602 · (203) 276-2330
Sole ProprietorNo
Enumeration DateApril 12, 2019
Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
NPI 1063975381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CT · 4455 Licensed in NY · 023453-1
4 HOSPITAL PLZ STE 102, Stamford, CT 06902

Secondary Practice Location 1

Location 12257 Adam Clayton Powell Jr BlvdNew York, NY 10027-7979 · Phone (212) 281-5252

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kamruz Jahan Ahmed Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kamruz Ahmed's NPI number?

The NPI number for Kamruz Ahmed is 1063975381. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Kamruz Ahmed located?

Kamruz Ahmed practices at 4 Hospital Plz Ste 102, Stamford, CT 06902. The listed phone number is (203) 276-2330.

What is Kamruz Ahmed's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kamruz Ahmed enrolled in Medicare?

Yes. Kamruz Ahmed is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kamruz Ahmed was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.