Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BASIM AHMAD MD
NPI 1679276364
Student in an Organized Health Care Education/Training Program in Rochester, NY

Active since March 23, 2023PECOS Enrolled
777 CLINTON AVE S, ROCHESTER, NY 14620(585) 279-4800(585) 442-8319 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Mar 28, 2023, Mar 23, 2023 (3 updates tracked since 2023).

About Dr. Basim Ahmad Md NPPES

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

DR. BASIM AHMAD MD (NPI 1679276364) is an individual student in an organized health care education/training program in Rochester, New York, licensed in New York (NY345972) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679276364
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BASIM AHMADCredential: MD
Location Address777 CLINTON AVE SRochester, NY 14620-1448
Mailing Address777 Clinton Ave SRochester, NY 14620-1448 · (585) 279-4800 · Fax (585) 442-8319
Fax(585) 442-8319
Sole ProprietorNo
Enumeration DateMarch 23, 2023
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1679276364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NY · NY345972
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.
777 CLINTON AVE S, Rochester, NY 14620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Basim Ahmad 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.

Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Nurse Practitioner (Family)
777 CLINTON AVE S
ROCHESTER, NY 14620
Nurse Practitioner (Family)
777 CLINTON AVE S
ROCHESTER, NY 14620
Family Medicine
777 CLINTON AVE S
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620
Nurse Practitioner (Family)
777 CLINTON AVE S
ROCHESTER, NY 14620
Student in an Organized Health Care Education/Training Program
777 CLINTON AVE S
ROCHESTER, NY 14620

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 Basim Ahmad's NPI number?

The NPI number for Basim Ahmad is 1679276364. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Basim Ahmad located?

Basim Ahmad practices at 777 Clinton Ave S, Rochester, NY 14620. The listed phone number is (585) 279-4800.

What is Basim 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 Basim Ahmad enrolled in Medicare?

Yes. Basim Ahmad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Basim Ahmad was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.