AHMED ASHAF KHAMIS MOHAMED MD
NPI 1083397715
Student in an Organized Health Care Education/Training Program in Rochester, NY

Q: What is Ahmed Mohamed's NPI number?

The NPI number for Ahmed Mohamed is 1083397715. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Ahmed Mohamed's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ahmed Mohamed was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since August 09, 2023PECOS Enrolled

1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7746(585) 723-7834 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ahmed Ashaf Khamis Mohamed Md NPPES

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

AHMED ASHAF KHAMIS MOHAMED MD (NPI 1083397715) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1083397715

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameAHMED ASHAF KHAMIS MOHAMEDCredential: MD

Location Address1555 LONG POND RDRochester, NY 14626-4164

Mailing Address1555 Long Pond RdRochester, NY 14626-4164 · (585) 723-7746 · Fax (585) 723-7834

Phone(585) 723-7746

Fax(585) 723-7834

Sole ProprietorNo

Enumeration DateAugust 9, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1083397715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1555 LONG POND RD, Rochester, NY 14626

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Secondary Practice Location 1

Location 11561 Long Pond Rd Ste 206Rochester, NY 14626-4135 · Phone (585) 368-4800 · Fax (585) 368-4815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmed Ashaf Khamis Mohamed Md 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKENZIE R. PETTINELLA PA

Physician Assistant (Medical)

1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7870

FAROOQ CHAUDHARY MD

Student in an Organized Health Care Education/Training Program