BILAL AHMED MD
NPI 1073859443
Hospitalist in Coweta, OK

Active since December 12, 2012PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
31870 OKLAHOMA 51, KOWETA INDIAN HEALTH CENTER, COWETA, OK 74429(918) 279-3200 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2021, Feb 12, 2019 (2 updates tracked since 2019).

About Bilal Ahmed Md NPPES

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

BILAL AHMED MD (NPI 1073859443) is an individual hospitalist provider in Coweta, Oklahoma, licensed in Oklahoma (29297) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073859443
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBILAL AHMEDCredential: MD
Location Address31870 OKLAHOMA 51, KOWETA INDIAN HEALTH CENTERCoweta, OK 74429
Mailing Address5835 E 46th PlTulsa, OK 74135-6840 · (918) 978-2242
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 12, 2012
Last NPPES UpdateNovember 11, 20212 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1073859443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OK · 29297
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 29297 (OK)
31870 OKLAHOMA 51, Coweta, OK 74429

Secondary Practice Locations 2

Location 1802 S Jackson Ave Ste 301Tulsa, OK 74127-9057 · Phone (918) 631-8500 · Fax (918) 631-8600
Location 26161 S Yale AveTulsa, OK 74136-1902 · Phone (918) 502-1900

Other Identifiers 2

Other261697ZQTHOK · Medicare
Medicaid200452520AOK

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

Bilal Ahmed 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 ID3779735022
PECOS Enrollment IDI20121212000474
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 5

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 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.
480 services151 patients
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.
311 services131 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.
115 services111 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.
44 services43 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74429 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

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 Bilal Ahmed's NPI number?

The NPI number for Bilal Ahmed is 1073859443. It was assigned to this individual provider in the NPPES registry on December 12, 2012.

Where is Bilal Ahmed located?

Bilal Ahmed practices at 31870 Oklahoma 51 Koweta Indian Health Center, Coweta, OK 74429. The listed phone number is (918) 279-3200.

What is Bilal Ahmed's specialty?

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

Is Bilal Ahmed enrolled in Medicare?

Yes. Bilal 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.

What insurance does Bilal Ahmed accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Bilal 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.

Is Bilal Ahmed affiliated with any hospitals?

According to CMS data, Bilal Ahmed is affiliated with Saint Francis Hospital, Inc and Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Bilal Ahmed was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.