Rafique Ahmed (NPI# 1457354854, PAC ID# 5597788778) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1457354854 |
| PAC ID by PECOS | 5597788778 |
| Professional Enrollment ID | I20060113000496 |
| Full Name | Rafique Ahmed |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Address |
29955 Three Notch Rd 100 Mmg At Charlotte Hall Charlotte Hall MD 20622-3159 |
| Phone Number | 3012905300 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1978 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 0547413825 |
| Number of Group Practice Members | 549 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210024 | MEDSTAR UNION MEMORIAL HOSPITAL |
| 210015 | MEDSTAR FRANKLIN SQUARE MEDICAL CENTER |
| 210027 | WESTERN MARYLAND REGIONAL MEDICAL CENTER |
| 210044 | GREATER BALTIMORE MEDICAL CENTER |
| 210049 | UNIVERSITY OF MD UPPER CHESAPEAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 201 E University Pkwy, Baltimore, MD 21218-2829 | 4105542000 | MEDSTAR MEDICAL GROUP II LLC |
| 3304 Guilford Ave, Baltimore, MD 21218-2829 | 4105546740 | MEDSTAR MEDICAL GROUP II LLC |
| 3304 Guilford Ave, Mmg At Guilford Ave, Baltimore, MD 21218-2829 | 4105546740 | MEDSTAR MEDICAL GROUP II LLC |
| 3333 N Calver St, Baltimore, MD 21218-6502 | MEDSTAR MEDICAL GROUP II LLC | |
| 5601 Loch Raven Blvd, Baltimore, MD 21239-2945 | MEDSTAR MEDICAL GROUP II LLC | |
| 5601 Loch Raven Blvd Russel Morga, Ste206, Baltimore, MD 21239-2945 | 4434445600 | MEDSTAR MEDICAL GROUP II LLC |
| 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 4437777000 | MEDSTAR MEDICAL GROUP II LLC |
| 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 | 3012905300 | MEDSTAR MEDICAL GROUP II LLC |
| 952 Seton Dr, Suite 301, Cumberland, MD 21502-1954 | 3017246787 | MEDSTAR MEDICAL GROUP II LLC |
| 1406 Crain S Hwy 106, Glen Burnie, MD 21061-4086 | 4107686440 | MEDSTAR MEDICAL GROUP II LLC |
| Organization Legal Name | MEDSTAR MEDICAL GROUP II LLC |
| Physicians | 582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah T Bergman | Internal Medicine | Medstar Medical Group II LLC | 9105 Franklin Square Dr, Rosedale, MD 21237-3930 |
| Mary Heathcote | Family Medicine | Medstar Medical Group II LLC | 1818 H St Nw, Washington, DC 20433-0001 |
| Lauren Marie Perz | Family Medicine | Medstar Medical Group II LLC | 23511 Hollywood Rd, Suite 2, Leonardtown, MD 20650-5833 |
| Tolulope A Agunbiade | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 1145 19th St Nw, 311 Mmg At 19th Street Nw, Washington, DC 20036-3735 |
| Terence Leonard O'rourke | Family Medicine | Medstar Medical Group II LLC | 1120 20th St Nw, Medstar At Lafayette, Washington, DC 20036-3406 |
| Khalil Ibrahim | Cardiovascular Disease (cardiology) | Medstar Medical Group II LLC | 5601 Loch Raven Blvd Russel Morga, Ste206, Baltimore, MD 21239-2945 |
| Robert C Clark | Internal Medicine | Medstar Medical Group II LLC | 3301 New Mexico Ave, 205 Mmg At New Mexico Ave, Washington, DC 20016-3627 |
| Elizabeth M Hodson | Nurse Practitioner | Medstar Medical Group II LLC | 12111 Darnestown Rd, Gaithersburg, MD 20878-3211 |
| Caroline Simm | Nurse Practitioner | Medstar Medical Group II LLC | 2227 Old Emmorton Rd, 220 Mmgii At Smaldore, Bel Air, MD 21015-6189 |
| Christian C Glaser | Sports Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Street Address |
29955 THREE NOTCH RD 100 MMG AT CHARLOTTE HALL |
| City | CHARLOTTE HALL |
| State | MD |
| Zip | 20622-3159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian C Glaser | Sports Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Pamela A Laigle | Nurse Practitioner | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Praveena Sunkara | Internal Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Monika G Lee | Family Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Lorraine R Diana | Nurse Practitioner | Mgmc LLC | 29955 Three Notch Rd, Charlotte Hall, MD 20622-3159 |
| Sarah A Johnson | Internal Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Ashley C O'neil | Nurse Practitioner | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Heather E Walker | Family Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Christine A Trottier | Physician Assistant | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Katherine L Vachalek | Nurse Practitioner | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Knode | Physician Assistant | Mdics Rehabilitative Services LLC | 29449 Charlotte Hall Rd, Charlotte Hall, MD 20622-3042 |
| Aileen Kim | Radiation Oncology | Associates In Radiation Medicine, PC | 30077 Business Ctr Dr, Charlotte Hall, MD 20622-3101 |
| Barbara A Mielcarek | Nurse Practitioner | 30007 Business Ctr Dr, Charlotte Hall, MD 20622-3101 | |
| James C Boyd | Internal Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Fahmi H Fahmi | Pediatric Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Natalie Farmer | Nurse Practitioner | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Jackeline Gomez | Internal Medicine | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Molly F George | Obstetrics/gynecology | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Tara D Wood | Nurse Practitioner | Medstar Medical Group II LLC | 29955 Three Notch Rd, Charlotte Hall, MD 20622-3159 |
| Michael W Brown | Urology | Medstar Medical Group II LLC | 29955 Three Notch Rd, 100 Mmg At Charlotte Hall, Charlotte Hall, MD 20622-3159 |
| Find all physicians in zip 20622 | |||
| City | CHARLOTTE HALL |
| Zip Code | 20622 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | CHARLOTTE HALL + CARDIAC ELECTROPHYSIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.