DR. AHSAN MAHMOOD KAZMI M.D.
NPI 1013212570
Internal Medicine in Morristown, NJ

Active since January 14, 2011PECOS EnrolledAccepts Medicare Assignment
93.7/100
CMS Quality Rating
55 MADISON AVE, MORRISTOWN, NJ 07960(973) 867-6565 Get Directions Write a Review

NPPES record last updated: September 10, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ahsan Mahmood Kazmi M.d. NPPES

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

DR. AHSAN MAHMOOD KAZMI M.D. (NPI 1013212570) is an individual internal medicine provider in Morristown, New Jersey, licensed in New Jersey (25MA08968300) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1013212570
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AHSAN MAHMOOD KAZMICredential: M.D.
Location Address55 MADISON AVEMorristown, NJ 07960-7337
Mailing Address27 Alba PlParsippany, NJ 07054-2238 · (973) 794-4139
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 14, 2011
Last NPPES UpdateSeptember 10, 2012
✔ NPI 1013212570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08968300
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.
55 MADISON AVE, Morristown, NJ 07960

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ahsan Mahmood Kazmi 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 ID2062684566
PECOS Enrollment IDI20111005000426
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Ahsan Kazmi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
195 ROUTE 46, SUITE 102
Mine Hill, NJ 07803
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
Critical Care Medicine
111 CENTRAL AVE
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 112 clinicians in this Medicare group
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 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.
313 services103 patients
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.
115 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
107 services91 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.
105 services92 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.28
Improvement Activities40
Cost85.47

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
55 MADISON AVE
MORRISTOWN, NJ 07960
Psychologist
55 MADISON AVE, SUITE 400, OFFICE 83
MORRISTOWN, NJ 07960
Speech-Language Pathologist
55 MADISON AVE
MORRISTOWN, NJ 07960
Nurse Practitioner (Adult Health)
55 MADISON AVE, SUITE 310
MORRISTOWN, NJ 07960
Occupational Therapist (Pediatrics)
55 MADISON AVE
MORRISTOWN, NJ 07960
Speech-Language Pathologist
55 MADISON AVE
MORRISTOWN, NJ 07960
Psychologist
55 MADISON AVE, STE 400, PMR # 4229
MORRISTOWN, NJ 07960
Occupational Therapist (Pediatrics)
55 MADISON AVE
MORRISTOWN, NJ 07960

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 Ahsan Kazmi's NPI number?

The NPI number for Ahsan Kazmi is 1013212570. It was assigned to this individual provider in the NPPES registry on January 14, 2011.

Where is Ahsan Kazmi located?

Ahsan Kazmi practices at 55 Madison Ave, Morristown, NJ 07960. The listed phone number is (973) 867-6565.

What is Ahsan Kazmi's specialty?

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

Is Ahsan Kazmi enrolled in Medicare?

Yes. Ahsan Kazmi 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.

Which organizations bill Medicare for Ahsan Kazmi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahsan Kazmi reassigns Medicare benefits to 5 organizations: Internal Medicine Of Morris County LLC (Mine Hill, NJ), Central Avenue Professional Services, PC (Newark, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), Valley Physician Services PC (Paramus, NJ) and Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ahsan Kazmi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahsan Kazmi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ahsan Kazmi 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 Ahsan Kazmi affiliated with any hospitals?

According to CMS data, Ahsan Kazmi is affiliated with Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Ahsan Kazmi was last updated on September 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.