MANAL AHMAD M.D.
NPI 1366068975
Student in an Organized Health Care Education/Training Program in Port Jefferson, NY
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 Wellmont Holston Valley Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Manal Ahmad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bristol, TN 37620
- Reassigned Medicare billing, Tennessee enrollment
- 861 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNJohnson City Medical Center
Acute Care Hospitals · Johnson City, TNFrequently 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.
Which organization bills Medicare for Manal Ahmad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manal Ahmad reassigns Medicare benefits to Wellmont Medical Associates, Inc. (Bristol, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manal Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Manal Ahmad accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Manal Ahmad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Manal Ahmad affiliated with any hospitals?
According to CMS data, Manal Ahmad is affiliated with Wellmont Holston Valley Medical Center and 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Manal Ahmad, M.D. · NPI 1366068975
Student in an Organized Health Care Education/Training Program provider in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since June 19, 2020.
## Identity
- **NPI:** 1366068975 (Entity type: Individual)
- **Enumerated:** June 19, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 75 N COUNTY RD, LEVEL 2 CMO SUITE, INTERNAL MEDICINE RE, MATHER HOSPITAL, Port Jefferson, NY 11777
- **Phone:** (631) 686-2517
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wellmont Medical Associates, Inc. (NPI 1558812198, Bristol, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366068975) · Data from the CMS NPPES public registry.