AHMAD BASHARAT MD
NPI 1053087916
Hospitalist in Marshfield, WI

Active since August 20, 2021PECOS EnrolledAccepts Medicare Assignment
1000 N OAK AVE, MARSHFIELD, WI 54449(715) 387-5260 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2024, Aug 20, 2021 (2 updates tracked since 2021).

About Ahmad Basharat Md NPPES

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

AHMAD BASHARAT MD (NPI 1053087916) is an individual hospitalist provider in Marshfield, Wisconsin, licensed in Wisconsin (81405) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053087916
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameAHMAD BASHARATCredential: MD
Location Address1000 N OAK AVEMarshfield, WI 54449-5703
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5260
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 20, 2021
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
NPI 1053087916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 81405
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1000 N OAK AVE, Marshfield, WI 54449

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

Ahmad Basharat Md 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 ID7911362579
PECOS Enrollment IDI20240724000901
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 4

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.
129 services48 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.
56 services28 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.
53 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520210
Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County
Emergency services Birthing friendly

Marshfield Medical Center - Neillsville

Critical Access Hospitals · Neillsville, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521323
LocationN3708 River AveNeillsville, WI 54456 · Clark County
Emergency services

Flambeau Hospital

Critical Access Hospitals · Park Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521325
Location98 Sherry AvePark Falls, WI 54552 · Price County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54449 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

Genetic Counselor, MS
1000 N OAK AVE, 3C1
MARSHFIELD, WI 54449
Internal Medicine (Nephrology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Social Worker
1000 N OAK AVE
MARSHFIELD, WI 54449
Nuclear Medicine (Nuclear Imaging & Therapy)
1000 N OAK AVE
MARSHFIELD, WI 54449
Psychiatry & Neurology (Neurology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Audiologist
1000 N OAK AVE
MARSHFIELD, WI 54449
Radiology (Diagnostic Radiology)
1000 N OAK AVE
MARSHFIELD, WI 54449
Audiologist
1000 N OAK AVE
MARSHFIELD, WI 54449

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 Ahmad Basharat's NPI number?

The NPI number for Ahmad Basharat is 1053087916. It was assigned to this individual provider in the NPPES registry on August 20, 2021.

Where is Ahmad Basharat located?

Ahmad Basharat practices at 1000 N Oak Ave, Marshfield, WI 54449. The listed phone number is (715) 387-5260.

What is Ahmad Basharat's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ahmad Basharat enrolled in Medicare?

Yes. Ahmad Basharat 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 Ahmad Basharat accept?

Health plans from Medica and Sanford Health Plan list Ahmad Basharat 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 Ahmad Basharat affiliated with any hospitals?

According to CMS data, Ahmad Basharat is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center, Marshfield Medical Center - Eau Claire, Marshfield Medical Center - Neillsville and Flambeau Hospital.

When was this NPI record last updated?

The NPPES record for Ahmad Basharat was last updated on July 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.