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MANAL AHMAD M.D.
NPI 1366068975
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY

Active since June 19, 2020PECOS EnrolledAccepts Medicare Assignment
75 N COUNTY RD, LEVEL 2 CMO SUITE, INTERNAL MEDICINE RE, MATHER HOSPITAL, PORT JEFFERSON, NY 11777(631) 686-2517 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2026, Dec 29, 2025, Jun 30, 2025 and 3 more (6 updates tracked since 2020).

About Manal Ahmad M.d. NPPES

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

MANAL AHMAD M.D. (NPI 1366068975) is an individual student in an organized health care education/training program in Port Jefferson, New York and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366068975
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMANAL AHMADCredential: M.D.
Location Address75 N COUNTY RD, LEVEL 2 CMO SUITE, INTERNAL MEDICINE RE, MATHER HOSPITALPort Jefferson, NY 11777
Mailing Address75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather HospitalPort Jefferson, NY 11777 · (631) 686-2517
Phone(631) 686-2517
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2020
Last NPPES UpdateFebruary 2, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
✔ NPI 1366068975 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.

75 N COUNTY RD, LEVEL 2 CMO SUITE, INTERNAL MEDICINE RE, Port Jefferson, NY 11777
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manal Ahmad M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658738273
PECOS Enrollment IDI20260408002003
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

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 Manal Ahmad's NPI number?

The NPI number for Manal Ahmad is 1366068975. It was assigned to this individual provider in the NPPES registry on June 19, 2020.

Where is Manal Ahmad located?

Manal Ahmad practices at 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re Mather Hospital, Port Jefferson, NY 11777. The listed phone number is (631) 686-2517.

What is Manal Ahmad's specialty?

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

Is Manal Ahmad enrolled in Medicare?

Yes. Manal Ahmad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Manal Ahmad affiliated with any hospitals?

According to CMS data, Manal Ahmad is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Manal Ahmad was last updated on February 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.