Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Khadiga Ahmed, DO

Individual provider Family Medicine Physician · NPI 1053817296

Khadiga Ahmed, DO is registered under Family Practice in Lake Ronkonkoma, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2018, 8 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
8
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
MA, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone: (631) 471-0100
Fax: (631) 471-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 329788 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 288031 (MA)

Record details

NPI number1053817296
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 5, 2018
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2018 (8 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients191
Services billed 386 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Advantagecare Physicians PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 310 clinicians in the practice; 12 are shown here.

Other providers in Lake Ronkonkoma