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AMBIA AHMED MD
NPI 1033869466
Pediatrics in Lewiston, ME

Active since March 28, 2022PECOS Enrolled
12 HIGH ST STE 302, LEWISTON, ME 04240(207) 795-5730 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ambia Ahmed Md NPPES

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

AMBIA AHMED MD (NPI 1033869466) is an individual pediatrics provider in Lewiston, Maine, licensed in Maine (MD29639) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033869466
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMBIA AHMEDCredential: MD
Location Address12 HIGH ST STE 302Lewiston, ME 04240-7690
Mailing Address12 High St Ste 302Lewiston, ME 04240-7690 · (207) 795-5730
Phone(207) 795-5730
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2022
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
✔ NPI 1033869466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ME · MD29639
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12 HIGH ST STE 302, Lewiston, ME 04240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ambia Ahmed Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325429657
PECOS Enrollment IDI20251005000147
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 Reassignment

Medicare enrollment records show Ambia Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Maine Medical Center
0.1 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Other Providers at the Same Location NPPES 5

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

ERIN R VAN WAGENEN MD
Pediatrics
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
SUZANNE F STEVENSON NP
Nurse Practitioner (Family)
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
KIMBERLEE HAMILTON
Social Worker (Clinical)
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730
SOKHARATH KELLER FNP-BC
Nurse Practitioner (Family)
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5750
ZACHARY J NEWTON MD
Pediatrics
12 HIGH ST STE 302
LEWISTON, ME 04240
Androscoggin County (207) 795-5730

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 Ambia Ahmed's NPI number?

The NPI number for Ambia Ahmed is 1033869466. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Ambia Ahmed located?

Ambia Ahmed practices at 12 High St Ste 302, Lewiston, ME 04240. The listed phone number is (207) 795-5730.

What is Ambia Ahmed's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ambia Ahmed enrolled in Medicare?

Yes. Ambia Ahmed is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ambia Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ambia Ahmed reassigns Medicare benefits to Central Maine Medical Center (Lewiston, ME). The 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 Ambia Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ambia Ahmed accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Ambia 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.

When was this NPI record last updated?

The NPPES record for Ambia Ahmed was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.