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DR. SHAHBAZ AHMAD M.D.
NPI 1003134479
Internal Medicine in Frisco, TX

Active since May 11, 2010PECOS EnrolledAccepts Medicare Assignment
425 OLD NEWMAN RD STE 402, FRISCO, TX 75036(972) 499-5551(972) 499-9150 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2022, May 13, 2019 (2 updates tracked since 2019).

About Dr. Shahbaz Ahmad M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAHBAZ AHMAD M.D. (NPI 1003134479) is an individual internal medicine provider in Frisco, Texas, licensed in Texas (P1156) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1003134479
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAHBAZ AHMADCredential: M.D.
Location Address425 OLD NEWMAN RD STE 402Frisco, TX 75036-8184
Mailing Address5570 Fm 423 Ste 250 Pmb#177Frisco, TX 75036-8929 · (972) 499-5551 · Fax (972) 499-9150
Phone(972) 499-5551
Fax(972) 499-9150
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 11, 2010
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1003134479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P1156
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 259020 (NY), P1156 (TX)
425 OLD NEWMAN RD STE 402, Frisco, TX 75036
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shahbaz Ahmad M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294982377
PECOS Enrollment IDI20120824000116
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
808 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
140 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services28 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
99 services96 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
94 services91 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
70 services55 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
57%37 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%150 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%152 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%97 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%95 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%28 patients5/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%95 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%95 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENI JOHNSON FNP
Nurse Practitioner (Family)
425 OLD NEWMAN RD STE 402
FRISCO, TX 75036
Collin County (972) 499-5551
BUKHARI PSYCHIATRIC SERVICES
Psychiatry & Neurology (Psychiatry)
425 OLD NEWMAN RD STE 402
FRISCO, TX 75036
Collin County (817) 900-2766
COMPREHENSIVE ID CARE
Internal Medicine
425 OLD NEWMAN RD STE 402
FRISCO, TX 75036
Collin County (972) 499-5551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shahbaz Ahmad's NPI number?

The NPI number for Shahbaz Ahmad is 1003134479. It was assigned to this individual provider in the NPPES registry on May 11, 2010.

Where is Shahbaz Ahmad located?

Shahbaz Ahmad practices at 425 Old Newman Rd Ste 402, Frisco, TX 75036. The listed phone number is (972) 499-5551.

What is Shahbaz Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shahbaz Ahmad enrolled in Medicare?

Yes. Shahbaz Ahmad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shahbaz Ahmad accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and UnitedHealthcare list Shahbaz Ahmad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shahbaz Ahmad affiliated with any hospitals?

According to CMS data, Shahbaz Ahmad is affiliated with Jps Health Network, Medical City Plano and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Shahbaz Ahmad was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.