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Deactivated NPI 1861593584 Deactivated / Inactive NPI Male Practitioner

Dr. Shafi Ahmad , MD

Specialist • Patchogue, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shafi Ahmad has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date May 07, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Shafi Ahmad, MD was a registered Specialist practicing in Patchogue, NY. Throughout an active medical career spanning 14 years, Dr. Ahmad provided care at the practice location at 107 N OCEAN AVE until profile deactivation on 2020-05-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, psychotherapy with evaluation and management visit, psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

107 N Ocean Ave
Suite L

Patchogue, NY 117722012

Telephone 6314752311
Fax 6314755152
Associated Practice Facility / Clinic
🏢 Cherese M. Laporta D.o., Pllc Facility NPI 1700050051

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Patchogue, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
14.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
143 72 $124.48 $120.27
90833 Psychotherapy with evaluation and management visit, 30 minutes
142 72 $52.01 $50.66
90834 Psychotherapy, 45 minutes
14 11 $128.57 $89.92

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 100869

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Michael Fullam , PA

Physician Assistant

NPI 1255599163

Physician Assistant

Allison Boyle , PA

Physician Assistant - Medical

NPI 1285988642

Physician Assistant

NPI 1437206943

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 07, 2020

Record deactivated on May 07, 2020

NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 02, 2013

Registered at 107 N OCEAN AVE, SUITE L, PATCHOGUE, NY 117722012 (Tel: 6314752311)

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Updated Business Mailing Address July 02, 2013

Registered at 107 N OCEAN AVE, SUITE L, PATCHOGUE, NY 117722012 (Tel: 6314752311)

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Provider Name / Credentials Updated July 02, 2013

Recorded as SHAFI AHMAD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Specialist (License #100869 in NY)

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Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861593584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 02, 2013
Deactivation Date: May 07, 2020

Mailing Address

107 N Ocean Ave, Suite L

Patchogue, NY 117722012

Phone: 6314752311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.