ABDUL RAZZAQUE AHMED MD
NPI 1417947516
Dermatology in Boston, MA
NPI Status: Active since October 28, 2005
Contact Information
697 CAMBRIDGE ST
SUITE 302
BOSTON, MA
ZIP 02135
Phone: (617) 562-1040
Fax: (617) 562-1047
- Individual
- Male
- Dermatology
- Accepts Insurance
- PECOS Enrolled
About ABDUL AHMED
This page provides the complete NPI Profile along with additional information for Abdul Ahmed, a provider established in Boston, Massachusetts with a medical specialization in Dermatology. The healthcare provider is registered in the NPI registry with number 1417947516 assigned on October 2005. The practitioner's primary taxonomy code is 207N00000X with license number 58320 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1417947516
- Provider Name
- ABDUL RAZZAQUE AHMED MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 697 CAMBRIDGE ST SUITE 302 BOSTON, MA 02135
- Location Phone
- (617) 562-1040
- Location Fax
- (617) 562-1047
- Mailing Address
- 697 CAMBRIDGE ST SUITE 302 BOSTON, MA 02135
- Mailing Phone
- (617) 562-1040
- Mailing Fax
- (617) 562-1047
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-28-2005
- Last Update Date
- 01-10-2012
- Code Navigator
A dermatologist like Abdul Ahmed is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 58320
- License State
- MA
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0080243 | OTHER (01) | AETNA US HEALTHCARE | |
| 0300099 | OTHER (01) | UNITED HEALTHCARE | |
| 401193 | OTHER (01) | HARVARD PILGRIM HEALTH | |
| P00068876 | MEDICARE ID-TYPE UNSPECIFIED (04) | RAILROAD MEDICARE | |
| 053820 | OTHER (01) | TUFTS SECURE HORIZONS | |
| 38404 | OTHER (01) | CIGNA HEALTHCARE | |
| 26705 | OTHER (01) | MA | FALLON HEALTH PLAN |
| 401193 | OTHER (01) | HPHC | |
| J08437 | OTHER (01) | BCBS MA | |
| C35375 | MEDICARE UPIN (02) | ||
| J08437 | MEDICARE ID-TYPE UNSPECIFIED (04) |
Medicare Participation & PECOS Enrollment Status
Abdul Ahmed is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 40-54 minutes
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 84 times for 39 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02135 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $78.84
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $19.71
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 9 | 4 | 7 | 5 | 1 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 18 | 4 | 14 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 1 + 8 + 4 + 1 + 4 + 5 + 2 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1417947516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629011531 | ROBERT BONANNO MD Individual | Specialist | 697 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 782-5700 |
| 1932420866 | MARY DOBAS LMHC, LADC-1 Individual | Counselor (Professional) | 697 CAMBRIDGE ST SUITE 202 BRIGHTON, MA 02135 (617) 817-1831 |
| 1457697476 | MITCHELL D SIMON PC Organization | Chiropractor | 697 CAMBRIDGE ST SUITE 303 BRIGHTON, MA 02135 (617) 206-3250 |
| 1841360716 | CENTER FOR BLISTERING DISEASES, INC Organization | Dermatology | 697 CAMBRIDGE ST SUITE 302 BOSTON, MA 02135 (617) 562-1040 |
| 1033580725 | LAURA PILITSIS Individual | Acupuncturist | 697 CAMBRIDGE ST SUITE 204 BRIGHTON, MA 02135 (857) 399-5164 |
| 1447239884 | PERSONAL TOUCH HOME AIDES INC Organization | Home Health | 697 CAMBRIDGE ST SUITE 202 BRIGHTON, MA 02135 (978) 251-0170 |
| 1407891377 | NEW ENGLAND SLEEP LABS LLC Organization | Specialist/Technologist Cardiovascular (Sonography) | 697 CAMBRIDGE ST SUITE 203 BRIGHTON, MA 02135 (617) 254-2505 |
| 1508876475 | NEUROLOGICAL MEDICINE, LTD.,PC Organization | Pediatrics | 697 CAMBRIDGE ST SUITE 205 BRIGHTON, MA 02135 (617) 254-9000 |
| 1144371014 | NEW ENGLAND DIAGNOSTICS INC. Organization | Clinic/Center (Radiology) | 697 CAMBRIDGE ST SUITE 103 BRIGHTON, MA 02135 (617) 783-2767 |
| 1841351004 | DANCHENG ZHU LIC.AC., LMT Individual | Acupuncturist | 697 CAMBRIDGE ST SUITE 202 BRIGHTON, MA 02135 (617) 309-9901 |
| 1316500515 | DEBORAH ROGERS-CULOTTI Individual | Occupational Therapist | 697 CAMBRIDGE ST BRIGHTON, MA 02135 (617) 792-7066 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417947516, enumerated in the NPI registry as an "individual" on October 28, 2005
The provider is located at 697 Cambridge St Suite 302 Boston, Ma 02135 and the phone number is (617) 562-1040
The provider's speciality is Dermatology with taxonomy code 207N00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aetna,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $78.84 and an average copayment of 19.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 40-54 minutes.
This NPI record was last updated on October 28, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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