DR. SAMI AHMED M.D.
NPI 1013355569
Family Medicine in Marshall, MI

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
215 E MANSION ST STE 1E, MARSHALL, MI 49068(269) 781-3938(269) 781-8364 Get Directions Write a Review

NPPES record last updated: March 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Sami Ahmed M.d. NPPES

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

DR. SAMI AHMED M.D. (NPI 1013355569) is an individual family medicine provider in Marshall, Michigan, licensed in Michigan (4301103126) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013355569
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMI AHMEDCredential: M.D.
Location Address215 E MANSION ST STE 1EMarshall, MI 49068-1167
Mailing Address215 E Mansion St Ste 1eMarshall, MI 49068-1167 · (269) 781-3938 · Fax (269) 781-8364
Fax(269) 781-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 6, 2013
Last NPPES UpdateMarch 27, 2019
NPI 1013355569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301103126
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

215 E MANSION ST STE 1E, Marshall, MI 49068

Accepted 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. Sami Ahmed 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 ID6608007539
PECOS Enrollment IDI20160729000345
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 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.

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.
137 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims30 services$1.70 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$3.16 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,400 services$0.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims17 services$24.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$31.10 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims27 services$110.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Registered Nurse (Case Management)
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Nurse Practitioner
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Internal Medicine (Rheumatology)
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068
Family Medicine
215 E MANSION ST STE 1E
MARSHALL, MI 49068

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 Sami Ahmed's NPI number?

The NPI number for Sami Ahmed is 1013355569. It was assigned to this individual provider in the NPPES registry on June 6, 2013.

Where is Sami Ahmed located?

Sami Ahmed practices at 215 E Mansion St Ste 1E, Marshall, MI 49068. The listed phone number is (269) 781-3938.

What is Sami Ahmed's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sami Ahmed enrolled in Medicare?

Yes. Sami Ahmed 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 Sami Ahmed accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sami Ahmed 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 Sami Ahmed affiliated with any hospitals?

According to CMS data, Sami Ahmed is affiliated with St Joe Mercy Hospital System Livonia.

When was this NPI record last updated?

The NPPES record for Sami Ahmed was last updated on March 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.