SHEHBAZ AHMAD MD
NPI 1871102038
Student in an Organized Health Care Education/Training Program in New Haven, CT

Active since July 23, 2020PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 3, 2025, Jun 24, 2021, Jul 23, 2020 (3 updates tracked since 2020).

About Shehbaz Ahmad Md NPPES

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

SHEHBAZ AHMAD MD (NPI 1871102038) is an individual student in an organized health care education/training program in New Haven, Connecticut, licensed in Connecticut (82236) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871102038
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHEHBAZ AHMADCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3220
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 688-4242
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2020
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1871102038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CT · 82236
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.

20 YORK ST, New Haven, CT 06510

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shehbaz Ahmad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860817087
PECOS Enrollment IDI20260515002165
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.

Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871102038, enumerated as an "individual" on July 23, 2020.

The provider is located at 20 YORK ST NEW HAVEN, CT 06510 and the phone number is (203) 688-4242.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.