SUMAIRA AHMED M.D.
NPI 1043247687
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
540 OAK CENTRE DR STE 205, SAN ANTONIO, TX 78258(844) 824-8775 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2025, Jan 31, 2019 (2 updates tracked since 2019).

About Sumaira Ahmed M.d. NPPES

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

SUMAIRA AHMED M.D. (NPI 1043247687) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (Q4361) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1043247687
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSUMAIRA AHMEDCredential: M.D.
Location Address540 OAK CENTRE DR STE 205San Antonio, TX 78258-4767
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration
NPPES CertifiedNovember 24, 2025
✔ NPI 1043247687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · Q4361
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
540 OAK CENTRE DR STE 205, San Antonio, TX 78258

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

Sumaira 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 ID5991873929
PECOS Enrollment IDI20160127000955
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

2

Medicare enrollment records show Sumaira Ahmed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
Mental Health
308 S FRIENDSWOOD DR STE 200
Friendswood, TX 77546
  • Reassigned Medicare billing, Texas enrollment
  • 494 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 14

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

Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Social Worker (Clinical)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Social Worker (Clinical)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Pediatrics
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258

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 Sumaira Ahmed's NPI number?

The NPI number for Sumaira Ahmed is 1043247687. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Sumaira Ahmed located?

Sumaira Ahmed practices at 540 Oak Centre Dr Ste 205, San Antonio, TX 78258. The listed phone number is (844) 824-8775.

What is Sumaira Ahmed's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sumaira Ahmed enrolled in Medicare?

Yes. Sumaira 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 Sumaira Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumaira Ahmed reassigns Medicare benefits to 2 organizations: Bexar County Board Of Trustees For Mental Health Mental Retardation (San Antonio, TX) and Progressive Behavioral Health, PLLC (Friendswood, TX). 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 Sumaira Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumaira Ahmed accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Community First, UnitedHealthcare and WellPoint list Sumaira 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 Sumaira Ahmed was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.