UMAIR AHMED
NPI 1134579402
Hospitalist in Michigan City, IN

Q: What is Umair Ahmed's NPI number?

The NPI number for Umair Ahmed is 1134579402. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is Umair Ahmed's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Umair Ahmed was last updated on December 28, 2022. 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.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360(219) 852-1524(219) 933-2288 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2022, May 17, 2022, Mar 11, 2021 and 2 more (5 updates tracked since 2016).

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About Umair Ahmed NPPES

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

UMAIR AHMED (NPI 1134579402) is an individual hospitalist provider in Michigan City, Indiana, licensed in Indiana (01084103A) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Presence Mercy Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1134579402

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameUMAIR AHMED

Location Address3500 FRANCISCAN WAYMichigan City, IN 46360-0021

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 852-1524

Fax(219) 933-2288

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 17, 2016

Last NPPES UpdateDecember 28, 20225 updates tracked since enumeration

NPPES CertifiedDecember 28, 2022

✔ NPI 1134579402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IN · 01084103A

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 125.069454 (IL), 01084103A (IN)

3500 FRANCISCAN WAY, Michigan City, IN 46360

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Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (309) 655-2730 · Fax (309) 655-3927

Other Identifiers 1

Medicaid300039834IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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 and accepts Medicare assignment

Umair Ahmed 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 ID8820380918

PECOS Enrollment IDI20190730002099, I20200630001172

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 Umair Ahmed reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

24 On Physician Partners, PC

21 mi

Hospitalist

1500 S LAKE PARK AVE
Hobart, IN 46342

Reassigned Medicare billing, Indiana enrollment
44 clinicians in this Medicare group

NPI 1013497106 (800) 923-2247

Franciscan Physician Network

36 mi

Urgent Care

1515 W DRAGOON TRL
Mishawaka, IN 46544

Reassigned Medicare billing, Indiana enrollment
1,396 clinicians in this Medicare group

NPI 1366879009 (574) 254-6253

Knd Development 59, LLC

45 mi

Hospitalist

6130 N SHERIDAN RD
Chicago, IL 60660

Reassigned Medicare billing, Illinois enrollment
122 clinicians in this Medicare group

NPI 1205165396 (773) 381-1222

Community First Healthcare Of Illinois, Inc.

49 mi

Diagnostic Radiology

5645 W ADDISON ST
Chicago, IL 60634

Reassigned Medicare billing, Illinois enrollment
174 clinicians in this Medicare group

NPI 1053102269 (773) 282-7000

Community Home Physicians, LLC

57 mi

Physical Medicine & Rehabilitation

1S450 SUMMIT AVE STE 165
Oakbrook Terrace, IL 60181

Reassigned Medicare billing, Illinois and Indiana enrollments
97 clinicians in this Medicare group

NPI 1568909505 (630) 320-6871

Ignite Hospitalists, LLC

74 mi

Hospitalist

1325 N HIGHLAND AVE
Aurora, IL 60506

Reassigned Medicare billing, Illinois enrollment
22 clinicians in this Medicare group

NPI 1548130883 (630) 859-2222

Integrated Wellness Consultants LLC

74 mi

Internal Medicine

1315 N HIGHLAND AVE STE 100
Aurora, IL 60506

Reassigned Medicare billing, Illinois enrollment
21 clinicians in this Medicare group

NPI 1508677964 (630) 413-9119

Proctor Health Systems

154 mi

Family Medicine

5401 N KNOXVILLE AVE, SUITE 209
Peoria, IL 61614

Reassigned Medicare billing, Illinois enrollment
349 clinicians in this Medicare group

NPI 1134173917 (309) 689-6049

Methodist Medical Center Of Illinois

155 mi

Psychiatric Unit

221 NE GLEN OAK AVE
Peoria, IL 61636

Reassigned Medicare billing, Illinois enrollment
693 clinicians in this Medicare group

NPI 1275583155 (309) 672-5522

Pekin Prohealth Inc

162 mi

Family Medicine

600 S 13TH ST, SUITE M
Pekin, IL 61554

Reassigned Medicare billing, Illinois enrollment
142 clinicians in this Medicare group

NPI 1932150299 (309) 353-0825

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 14

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 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.

3,050 services388 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.

758 services217 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

626 services120 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.

583 services210 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

509 services154 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

272 services92 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

248 services108 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.

174 services168 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

140 services137 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.

124 services121 patients

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.

74 services34 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

58 services47 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

41 services40 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

14 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140174

Location1325 N Highland AvenueAurora, IL 60506 · Kane County

Emergency services Birthing friendly

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers15 claims570 services$0.92 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims310 services$2.49 avg. paid by Medicare

Commode chair, mobile or stationary, with detachable arms E0165

DME-Other DME · category DE000N

1 supplier13 claims13 services$11.12 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers22 claims22 services$45.63 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers64 claims64 services$16.80 avg. paid by Medicare

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.05 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.

JASON C LITTLE NP

Nurse Practitioner

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 852-1524

DONALD ERNEST GREER JR.

Nurse Practitioner (Family)

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 879-8511

FRANCISCAN HEALTH MICHIGAN CITY

Psychiatric Unit

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 877-1033

MICHELLE LYNN KRSTESKI PHARMD, MS

Pharmacist

3500 FRANCISCAN WAY, PHARMACY
MICHIGAN CITY, IN 46360

Laporte County (219) 237-4177

CAROL LYNN SCHNADENBERG

Registered Nurse

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 879-8511

DR. ZAIN SHEIKH M.D.

Hospitalist

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 852-1524

DR. MICHAEL B MILLER MD

Internal Medicine (Critical Care Medicine)

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 879-8511

ALEX HTUN MD

Hospitalist

3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

Laporte County (219) 852-1524

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 Umair Ahmed's NPI number?

The NPI number for Umair Ahmed is 1134579402. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Umair Ahmed located?

Umair Ahmed practices at 3500 Franciscan Way, Michigan City, IN 46360. The listed phone number is (219) 852-1524.

What is Umair Ahmed's specialty?

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

Is Umair Ahmed enrolled in Medicare?

Yes. Umair 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.

Which organizations bill Medicare for Umair Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umair Ahmed reassigns Medicare benefits to 10 organizations: 24 On Physician Partners, PC (Hobart, IN), Franciscan Physician Network (Mishawaka, IN), Knd Development 59, LLC (Chicago, IL), Community First Healthcare Of Illinois, Inc. (Chicago, IL), Community Home Physicians, LLC (Oakbrook Terrace, IL) and 5 more organizations, listed in the Medicare section above. 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 Umair Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umair Ahmed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and CareSource list Umair 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 Umair Ahmed affiliated with any hospitals?

According to CMS data, Umair Ahmed is affiliated with Presence Mercy Medical Center, Franciscan Health Michigan City and St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Umair Ahmed was last updated on December 28, 2022. 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.