Subject Numbers Regarding Health Provider Authorizations

Authorization No. 215330-2W

November 2, 2022

Please be advised that Dr. Ahmad M. Mehdi has resigned his authorization to treat injured workers in the New York State workers' compensation system effective October 29, 2022. Dr. Mehdi's last known practice addresses are:

Family Health Center
505 Route 281
Tully, New York 13159

and

100 Sykes Street
P.O. Box 68
Groton, New York 13073

Dr. Mehdi is prohibited from rendering treatment and care to injured workers, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Mehdi for services rendered prior to October 29, 2022, are valid but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Mehdi for services rendered prior to October 29, 2022, should not be denied due to his resignation.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.