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MAQBOOL A AHMED M.D.
NPI 1023022118
Internal Medicine - Hematology & Oncology in Evansville, IN

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
421 CHESTNUT ST, EVANSVILLE, IN 47713(812) 426-9411(812) 426-9503 Get Directions Write a Review

NPPES record last updated: July 31, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Maqbool A Ahmed M.d. NPPES

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

MAQBOOL A AHMED M.D. (NPI 1023022118) is an individual hematology & oncology provider in Evansville, Indiana, licensed in Indiana (01054343A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1023022118
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMAQBOOL A AHMEDCredential: M.D.
Location Address421 CHESTNUT STEvansville, IN 47713-1227
Mailing AddressPo Box 3868Evansville, IN 47737-3868 · (812) 426-9411 · Fax (812) 426-9503
Phone(812) 426-9411
Fax(812) 426-9503
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 31, 2014
✔ NPI 1023022118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IN · 01054343A
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
421 CHESTNUT ST, Evansville, IN 47713
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN257900UUUIN
Medicare PIN830007624IN
Medicare UPINH40335IN
Medicaid200335110IN
Medicare PIN849820TTIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Maqbool A 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 ID7810989977
PECOS Enrollment IDI20040331000448, I20050215000226, I20080508000610
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

7

Medicare enrollment records show Maqbool Ahmed reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Speciality Physicians, Inc
0.2 mi
Endocrinology, Diabetes & Metabolism
120 SE 4TH ST
Evansville, IN 47708
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • Medicare enrollment name: Deaconess Specialty Physicians, Inc
  • Also billed through NPI 1386319440 (Kentucky)
  • 264 clinicians in this Medicare group
NPI 1407428519 (812) 426-6638
Deaconess Clinic, Inc
0.9 mi
Infectious Disease
520 MARY ST STE 230
Evansville, IN 47710
  • Reassigned Medicare billing, Kentucky enrollment
  • 174 clinicians in this Medicare group
NPI 1902425812 (812) 450-8600
Gibson General Hospital, Inc
6.7 mi
Gastroenterology
4219 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 39 clinicians in this Medicare group
NPI 1093300188 (812) 842-2701
Wabash General Hospital District
33 mi
Critical Access
1418 COLLEGE DR
Mount Carmel, IL 62863
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1295834208 (Illinois)
  • 65 clinicians in this Medicare group
NPI 1194728808 (618) 262-8621
Ferrell Hospital Community Foundation
34 mi
Rural Health
1338A IL HIGHWAY 1, STE A
Carmi, IL 62821
  • Reassigned Medicare billing, Illinois enrollment
  • 74 clinicians in this Medicare group
NPI 1134650997 (618) 380-9321
Deaconess Illinois Specialty Clinic, Inc.
55 mi
Podiatrist
303 S COMMERCIAL ST STE 15
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1497462956 (618) 767-6050
Crawford Hospital District
73 mi
Critical Access
1000 N ALLEN ST
Robinson, IL 62454
  • Reassigned Medicare billing, Illinois enrollment
  • 116 clinicians in this Medicare group
NPI 1265493720 (618) 544-3131

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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
279 services113 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.
207 services129 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.
123 services96 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.
105 services85 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.
62 services62 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
52 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47713 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$16.88 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 suppliers36 claims36 services$97.98 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 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 20

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

BREANN M ELLIS RD
Dietitian, Registered
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 426-9831
MS. JANET DEANN ZIEGLER ACNP-BC
Nurse Practitioner (Acute Care)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 450-2496
BOARD OF TRUSTEES OF WELBORN CLINIC
Urology
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 426-9855
VIRGINIA LYNN CISSELL RN, CDE
Registered Nurse (Diabetes Educator)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 426-9372
JA-MAE V. CHAMBERS APRN
Nurse Practitioner
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 450-8600
DR. GORDON C GREEN O.D.
Optometrist
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 490-3937
BOARD OF TRUSTEES OF WELBORN CLINIC
Internal Medicine (Cardiovascular Disease)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 426-9559
DR. YOUSEF HAMDI ALTOWAIREB M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
421 CHESTNUT ST
EVANSVILLE, IN 47713
Vanderburgh County (812) 426-6638

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 Maqbool Ahmed's NPI number?

The NPI number for Maqbool Ahmed is 1023022118. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Maqbool Ahmed located?

Maqbool Ahmed practices at 421 Chestnut St, Evansville, IN 47713. The listed phone number is (812) 426-9411.

What is Maqbool Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Maqbool Ahmed enrolled in Medicare?

Yes. Maqbool 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.

Which organizations bill Medicare for Maqbool Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maqbool Ahmed reassigns Medicare benefits to 7 organizations: Deaconess Speciality Physicians, Inc (Evansville, IN), Deaconess Clinic, Inc (Evansville, IN), Gibson General Hospital, Inc (Newburgh, IN), Wabash General Hospital District (Mount Carmel, IL), Ferrell Hospital Community Foundation (Carmi, IL) and 2 more organizations, listed in the Medicare section above. 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 Maqbool Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maqbool Ahmed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 3 other insurers list Maqbool 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 Maqbool Ahmed affiliated with any hospitals?

According to CMS data, Maqbool Ahmed is affiliated with Ferrell Hospital Community Foundations, Wabash General Hospital 1, Good Samaritan Hospital, Memorial Hospital And Health Care Center and Gibson General Hospital.

When was this NPI record last updated?

The NPPES record for Maqbool Ahmed was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.