DR. KHALID SAIFULLAH AHMAD MD
NPI 1568622397
Pediatrics - Pediatric Pulmonology in Farmingville, NY

NPI Status: Active since June 16, 2008

Contact Information

465 BLUE POINT RD
FARMINGVILLE, NY
ZIP 11738
Phone: (631) 495-1962
Fax: (631) 615-1043

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  • Individual
  • Male
  • Years of Experience 27
  • Pediatrics
  • Pediatric Pulmonology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KHALID AHMAD

This page provides the complete NPI Profile along with additional information for Khalid Ahmad, a pediatrician established in Farmingville, New York with a medical specialization in Pediatrics, focusing in pediatric pulmonology and more than 27 years of experience. He graduated from Icahn School Of Medicine At Mount Sinai in 1999. The healthcare provider is registered in the NPI registry with number 1568622397 assigned on June 2008. The practitioner's primary taxonomy code is 2080P0214X with license number 254147 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1568622397
Provider Name
DR. KHALID SAIFULLAH AHMAD MD
Gender
Male
Entity Type
Individual
Location Address
465 BLUE POINT RD FARMINGVILLE, NY 11738
Location Phone
(631) 495-1962
Location Fax
(631) 615-1043
Mailing Address
465 BLUE POINT RD FARMINGVILLE, NY 11738
Mailing Phone
(631) 495-1962
Mailing Fax
(631) 615-1043
Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
06-16-2008
Last Update Date
05-25-2021
Code Navigator

A pediatrician like Khalid Ahmad is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Pulmonology

Taxonomy Code
2080P0214X
Type
Allopathic & Osteopathic Physicians
License No.
254147
License State
NY
Taxonomy Description
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207QS1201XAllopathic & Osteopathic Physicians

Family Medicine
Sleep Medicine

254147 (NY)
22080S0012XAllopathic & Osteopathic Physicians

Pediatrics
Sleep Medicine

254147 (NY)

Medicare Participation & PECOS Enrollment Status

Khalid Ahmad is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Khalid Ahmad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2163577024

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090829000004

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    3 DME suppliers used 33 Medicare Claims 33 Services Paid

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568622397, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 2 → 4 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 2 + 2 + 4 + 3 + 1 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1568622397.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physician Assistant
465 BLUE POINT RD, SUITE D
FARMINGVILLE, NY 11738
Physical Therapist
465 BLUE POINT RD, SUITE A
FARMINGVILLE, NY 11738
Physician Assistant
465 BLUE POINT RD
FARMINGVILLE, NY 11738
Pediatrics (Pediatric Pulmonology)
465 BLUE POINT RD
FARMINGVILLE, NY 11738

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568622397, enumerated as an "individual" on June 16, 2008.

The provider is located at 465 BLUE POINT RD FARMINGVILLE, NY 11738 and the phone number is (631) 495-1962.

Pediatrics with taxonomy code 2080P0214X and a focus in Pediatric Pulmonology.