Khadiga Ahmed, DO in Lake Ronkonkoma, NY - Medicare Family Practice

Khadiga Ahmed, DO is a medicare enrolled "Family Medicine" physician in Lake Ronkonkoma, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2018 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Advantagecare Physicians Pc and her current practice location is 640 Hawkins Ave, Lake Ronkonkoma, New York. You can reach out to her office (for appointments etc.) via phone at (631) 471-0100.

Khadiga Ahmed is licensed to practice in New York (license number 329788) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053817296.

Contact Information

	Khadiga Ahmed, DO
	640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324
	(631) 471-0100
	(631) 471-1000

Map and Direction

Physician's Profile

Full Name	Khadiga Ahmed
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	640 Hawkins Ave, Lake Ronkonkoma, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khadiga Ahmed attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2018

NPI Data:

NPI Number: 1053817296
Provider Enumeration Date: 04/05/2018
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1658616891
Enrollment ID: I20240812003797

Medical Identifiers

Medical identifiers for Khadiga Ahmed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053817296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	329788 (New York)	Primary
207Q00000X	Family Medicine	288031 (Massachusetts)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advantagecare Physicians Pc	2365735008	302

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Khadiga Ahmed allows following entities to bill medicare on her behalf.

Entity Name	Advantagecare Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khadiga Ahmed is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Khadiga Ahmed, DO 55 Water St Fl 2, New York, NY 10041-0010 Ph: (646) 680-2888	Khadiga Ahmed, DO 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324 Ph: (631) 471-0100

Reviews and Comments

Family Medicine Doctors in Lake Ronkonkoma, NY

Robert Frederick Mazzeo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-737-0100
Jack Z Nussbaum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480
Manuel R Rosales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480
Dr. David I Hauer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 388 Hawkins Ave, Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-588-8460 Fax: 631-588-8480
Dr. Bhanumathy Vinayagasundaram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Hawkins Avenue, Lake Ronkonkoma, NY 11779 Phone: 631-737-0100 Fax: 631-471-1117
Robert Andrew Tufano, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Portion Rd, Lake Ronkonkoma, NY 11779 Phone: 631-981-1333 Fax: 631-981-2326

Khadiga Ahmed, DO - Medicare Family Practice in Lake Ronkonkoma, NY