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DR. IRFAN AHMAD M.D.
NPI 1063460426
Internal Medicine in Woonsocket, RI

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
68 CUMBERLAND ST STE 205, WOONSOCKET, RI 02895(401) 765-4100(401) 765-2300 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2023, Mar 31, 2021 (2 updates tracked since 2021).

About Dr. Irfan Ahmad M.d. NPPES

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

DR. IRFAN AHMAD M.D. (NPI 1063460426) is an individual internal medicine provider in Woonsocket, Rhode Island, licensed in Rhode Island (MD11507) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Pawtucket.

NPPES Registry Identity

NPI1063460426
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. IRFAN AHMADCredential: M.D.
Location Address68 CUMBERLAND ST STE 205Woonsocket, RI 02895-3331
Mailing Address68 Cumberland St Ste 205Woonsocket, RI 02895-3331 · (401) 765-4100 · Fax (401) 765-2300
Phone(401) 765-4100
Fax(401) 765-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1063460426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD11507
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.
68 CUMBERLAND ST STE 205, Woonsocket, RI 02895
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Secondary Practice Location 1

Location 1333 School St Ste 302Pawtucket, RI 02860-5337 · Phone (401) 725-3520 · Fax (401) 725-3548

Other Identifiers 1

Medicaid9094990RI

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. Irfan 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 ID2466413919
PECOS Enrollment IDI20041019000999
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.

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.
180 services108 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
76 services76 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
25 services25 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410011
Location115 Cass AvenueWoonsocket, RI 02895 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers64 claims138 services$5.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers36 claims36 services$0.85 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers12 claims12 services$37.31 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 2

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

JESSICA LAWLER NP
Nurse Practitioner (Family)
68 CUMBERLAND ST STE 205
WOONSOCKET, RI 02895
Providence County (401) 765-4100
RHODE ISLAND MEDICINE INC.
Internal Medicine
68 CUMBERLAND ST STE 205
WOONSOCKET, RI 02895
Providence County (401) 765-4100

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 Irfan Ahmad's NPI number?

The NPI number for Irfan Ahmad is 1063460426. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Irfan Ahmad located?

Irfan Ahmad practices at 68 Cumberland St Ste 205, Woonsocket, RI 02895. The listed phone number is (401) 765-4100.

What is Irfan Ahmad's specialty?

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

Is Irfan Ahmad enrolled in Medicare?

Yes. Irfan 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 Irfan Ahmad affiliated with any hospitals?

According to CMS data, Irfan Ahmad is affiliated with Rhode Island Hospital, Kent County Memorial Hospital, Landmark Medical Center and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Irfan Ahmad was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.