Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ZIA M AHMAD M.D., F.A.C.C.
NPI 1063491777
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
96.8/100
CMS Quality Rating
2705 DOUGHERTY FERRY RD STE 201, SAINT LOUIS, MO 63122(314) 835-0001(314) 835-0030 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2026, Feb 6, 2025, Nov 7, 2023 (3 updates tracked since 2023).

About Dr. Zia M Ahmad M.d., F.a.c.c. NPPES

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

DR. ZIA M AHMAD M.D., F.A.C.C. (NPI 1063491777) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (110522) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Red Bud Regional Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1063491777
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ZIA M AHMADCredential: M.D., F.A.C.C.
Location Address2705 DOUGHERTY FERRY RD STE 201Saint Louis, MO 63122-3372
Mailing AddressPo Box 66940Saint Louis, MO 63166-6940 · (314) 835-0001 · Fax (314) 835-0030
Fax(314) 835-0030
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 11, 2006
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1063491777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in MO · 110522✔ Licensed in IL · 036093877
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2705 DOUGHERTY FERRY RD STE 201, Saint Louis, MO 63122

Secondary Practice Locations 4

Location 11400 LeMay Ferry RdSaint Louis, MO 63125-2408 · Phone (314) 685-8721
Location 23009 N Ballas Rd Ste 100BSaint Louis, MO 63131-2322 · Phone (314) 432-1111
Location 310 Arnold MallArnold, MO 63010-2223 · Phone (314) 835-0001 · Fax (314) 835-0030
Location 41100 N Kentucky AveWest Plains, MO 65775-2029 · Phone (417) 256-9111

Other Identifiers 2

Medicaid121684250IL
Medicaid208490615MO

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

Dr. Zia M Ahmad M.d., F.a.c.c. 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 ID941110753
PECOS Enrollment IDI20070131000070, I20070321000048
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

3

Medicare enrollment records show Zia Ahmad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
2705 DOUGHERTY FERRY RD STE 201
Saint Louis, MO 63122
  • Reassigned Medicare billing, Illinois and Missouri enrollments
Rural Health
301 N HIGHWAY 21
Pilot Knob, MO 63663
  • Reassigned Medicare billing, Missouri enrollment
  • Also billed through NPI 1477648178 (Missouri)
  • 53 clinicians in this Medicare group
Rural Health
9104 STATE HIGHWAY 19
Winona, MO 65588
  • Reassigned Medicare billing, Missouri enrollment
  • 338 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.

Areas of Expertise CMS Part B claims 26

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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
4,914 services189 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
1,814 services192 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,440 services171 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
503 services66 patients
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.
480 services219 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
403 services207 patients

Hospital Affiliations CMS Care Compare 5

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

Red Bud Regional Hospital

Critical Access Hospitals · Red Bud, IL
OwnershipProprietary
CMS Certification Number141348
Location325 Spring StreetRed Bud, IL 62278 · Randolph County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Iron County Medical Center

Critical Access Hospitals · Pilot Knob, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261336
Location301 North Highway 21Pilot Knob, MO 63663 · Iron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63122 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.73
Promoting Interoperability99
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
79%138 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,782 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%433 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%49 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%257 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%714 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 563 patients
Patients tobacco: 87% · 563 patients
12%83 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%257 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%257 patients1/55-star benchmark: 89%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
70%469 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 436 patients
0%436 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
13%257 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
2705 DOUGHERTY FERRY RD STE 201
SAINT LOUIS, MO 63122

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 Zia Ahmad's NPI number?

The NPI number for Zia Ahmad is 1063491777. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Zia Ahmad located?

Zia Ahmad practices at 2705 Dougherty Ferry Rd Ste 201, Saint Louis, MO 63122. The listed phone number is (314) 835-0001.

What is Zia Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Zia Ahmad enrolled in Medicare?

Yes. Zia 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.

Which organizations bill Medicare for Zia Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zia Ahmad reassigns Medicare benefits to 3 organizations: Bi-State Cardiovascular Consultant PC (Saint Louis, MO), Iron County Hospital District (Pilot Knob, MO) and Ozarks Medical Center (Winona, MO). 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 Zia Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zia Ahmad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Zia Ahmad 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 Zia Ahmad affiliated with any hospitals?

According to CMS data, Zia Ahmad is affiliated with Red Bud Regional Hospital, Sparta Community Hospital, Missouri Baptist Medical Center, Parkland Health Center and Iron County Medical Center.

When was this NPI record last updated?

The NPPES record for Zia Ahmad was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.