SOHAIL AHMED M.D.
NPI 1104866045
Internal Medicine - Infectious Disease in Rockwall, TX

Q: What is Sohail Ahmed's NPI number?

The NPI number for Sohail Ahmed is 1104866045. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Sohail Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Sohail Ahmed was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since June 08, 2006PECOS Enrolled

6701 HERITAGE PKWY STE 160, ROCKWALL, TX 75087(469) 935-7371(844) 269-5425 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Jun 25, 2025, Dec 10, 2024 and 3 more (6 updates tracked since 2017).

On this page

About Sohail Ahmed M.d. NPPES

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

SOHAIL AHMED M.D. (NPI 1104866045) is an individual infectious disease provider in Rockwall, Texas, licensed in Texas (P5319) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hunt Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104866045

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameSOHAIL AHMEDCredential: M.D.

Location Address6701 HERITAGE PKWY STE 160Rockwall, TX 75087-8797

Mailing Address6701 Heritage Pkwy Ste 160Rockwall, TX 75087-8797 · (469) 935-7371 · Fax (844) 269-5425

Phone(469) 935-7371

Fax(844) 269-5425

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJune 8, 2006

Last NPPES UpdateAugust 7, 20266 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1104866045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Licenses✔ Licensed in TX · P5319✔ Licensed in NC · 2026-04149

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License P5319 (TX)

6701 HERITAGE PKWY STE 160, Rockwall, TX 75087

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Secondary Practice Locations 2

Location 16800 Scenic DrRowlett, TX 75088-4552 · Phone (469) 935-7371

Location 21200 N Elm StGreensboro, NC 27401-1004 · Phone (336) 832-7000 · Fax (336) 832-3285

Other Identifiers 2

OtherP5319TX · Medical License

Other207RI0200XTX · Taxonomy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sohail Ahmed M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769498047

PECOS Enrollment IDI20161010002070

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

Medicare enrollment records show Sohail Ahmed reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urban Id Physician, PLLC

8.5 mi

Infectious Disease

5435 N GARLAND AVE STE 140
Garland, TX 75040

Reassigned Medicare billing, Texas enrollment

NPI 1750817326 (888) 212-4243

Physician Associates Of Southwest Dallas

21 mi

Family Medicine

122 W COLORADO BLVD
Dallas, TX 75208

Reassigned Medicare billing, Texas enrollment
135 clinicians in this Medicare group

NPI 1801845425 (214) 947-6700

The Moses H Cone Memorial Hospital Operating Corporation

978 mi

Internal Medicine

1200 N ELM ST
Greensboro, NC 27401

Reassigned Medicare billing, North Carolina enrollment
408 clinicians in this Medicare group

NPI 1356372064 (336) 832-9943

Alamance Regional Medical Center, Inc.

993 mi

General Acute Care Hospital

1240 HUFFMAN MILL RD
Burlington, NC 27215

Reassigned Medicare billing, North Carolina enrollment
384 clinicians in this Medicare group

NPI 1326010273 (336) 538-8400

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 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 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.

3,542 services596 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

695 services577 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.

269 services153 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.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450742

Location6800 Scenic DrRowlett, TX 75088 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75087 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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 Sohail Ahmed's NPI number?

The NPI number for Sohail Ahmed is 1104866045. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Sohail Ahmed located?

Sohail Ahmed practices at 6701 Heritage Pkwy Ste 160, Rockwall, TX 75087. The listed phone number is (469) 935-7371.

What is Sohail Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sohail Ahmed enrolled in Medicare?

Yes. Sohail Ahmed is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sohail Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sohail Ahmed reassigns Medicare benefits to 4 organizations: Urban Id Physician, PLLC (Garland, TX), Physician Associates Of Southwest Dallas (Dallas, TX), The Moses H Cone Memorial Hospital Operating Corporation (Greensboro, NC) and Alamance Regional Medical Center, Inc. (Burlington, NC). 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 Sohail Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sohail Ahmed accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sohail 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 Sohail Ahmed affiliated with any hospitals?

According to CMS data, Sohail Ahmed is affiliated with Hunt Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Sohail Ahmed was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.