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DR. AHMAD H AHMAD M.D.
NPI 1053397018
Internal Medicine in Decatur, IL

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
1770 E LAKE SHORE DR, SUITE 201, DECATUR, IL 62521(217) 428-7921(217) 428-7931 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ahmad H Ahmad M.d. NPPES

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

DR. AHMAD H AHMAD M.D. (NPI 1053397018) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (030108732) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1053397018
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AHMAD H AHMADCredential: M.D.
Location Address1770 E LAKE SHORE DR, SUITE 201Decatur, IL 62521-3832
Mailing Address1770 E Lake Shore Dr, Suite 201Decatur, IL 62521-3832 · (217) 428-7921 · Fax (217) 428-7931
Phone(217) 428-7921
Fax(217) 428-7931
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 21, 2005
Last NPPES UpdateJuly 19, 2010
✔ NPI 1053397018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 030108732
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1770 E LAKE SHORE DR, Decatur, IL 62521
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Other Identifiers 6

Other612624IL · Healthlink
Medicare UPINF75884IL
Other113690990ID · Fed Tax Id #
Medicaid036108732IL
Other05832029IL · Blue Cross/blue Shield
Medicare ID-Type Unspecified206444IL

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. Ahmad H Ahmad 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 ID941251391
PECOS Enrollment IDI20050203000165
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 3

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.
127 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
39 services15 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
39 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers18 claims52 services$5.40 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 suppliers24 claims24 services$87.26 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$31.86 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
2 suppliers12 claims690 services$6.23 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers45 claims6,251 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers40 claims40 services$26.06 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.

ST MARYS HOSPITAL DECATUR OF THE HOSPITAL SISTERS OF THE THIRD ORDER
Urology
1770 E LAKE SHORE DR, SUITE 202
DECATUR, IL 62521
Macon County (217) 464-2505
LAUREL A WALTON DO SC
Obstetrics & Gynecology
1770 E LAKE SHORE DR, STE 309
DECATUR, IL 62521
Macon County (217) 422-9740
DEBRA G. CHARVERON LCPC
Counselor (Professional)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 429-9700
AZHAR ASLAM MD LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1770 E LAKE SHORE DR, SUITE 103
DECATUR, IL 62521
Macon County (217) 422-9036
MS. KAREN L HAMMOND MSW LCSW
Social Worker (Clinical)
1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521
Macon County (217) 428-0600
DECATUR PEDIATRIC CLINIC
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 423-8800
DECATUR HEALTHCARE LLC
Clinic/Center (Ambulatory Surgical)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 424-1021
JAMIE SUE WARNICK MD
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 423-8800

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 Ahmad's NPI number?

The NPI number for Ahmad Ahmad is 1053397018. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Ahmad Ahmad located?

Ahmad Ahmad practices at 1770 E Lake Shore Dr Suite 201, Decatur, IL 62521. The listed phone number is (217) 428-7921.

What is Ahmad Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ahmad Ahmad enrolled in Medicare?

Yes. Ahmad Ahmad 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.

Is Ahmad Ahmad affiliated with any hospitals?

According to CMS data, Ahmad Ahmad is affiliated with Decatur Memorial Hospital and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Ahmad Ahmad was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.