AHMED IMTIAZ MD
NPI 1629606041
Psychiatry & Neurology - Psychiatry in Patchogue, NY

Q: What is Ahmed Imtiaz's NPI number?

The NPI number for Ahmed Imtiaz is 1629606041. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Q: What is Ahmed Imtiaz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Ahmed Imtiaz was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment

101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 654-7100 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Mar 31, 2020 (2 updates tracked since 2020).

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About Ahmed Imtiaz Md NPPES

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

AHMED IMTIAZ MD (NPI 1629606041) is an individual psychiatry provider in Patchogue, New York, licensed in New York (341070) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629606041

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameAHMED IMTIAZCredential: MD

Location Address101 HOSPITAL RDPatchogue, NY 11772-4870

Mailing Address101 Hospital RdPatchogue, NY 11772-4870 · (631) 654-7100

Phone(631) 654-7100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 31, 2020

Last NPPES UpdateFebruary 14, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2026

✔ NPI 1629606041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 341070

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

101 HOSPITAL RD, Patchogue, NY 11772

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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

Ahmed Imtiaz Md 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 ID1951723865

PECOS Enrollment IDI20260213002043

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

VAISHALI MEHTA MD

Internal Medicine (Critical Care Medicine)