RAHEEL AHMED MD/MPH
NPI 1134626518
Pathology - Anatomic Pathology & Clinical Pathology in Phoenix, AZ

Active since April 11, 2018PECOS Enrolled
88.55/100
CMS Quality Rating
424 S 56TH ST STE 110, PHOENIX, AZ 85034(602) 685-5211(480) 478-8091 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2023, Aug 4, 2022, Apr 11, 2018 (3 updates tracked since 2018).

About Raheel Ahmed Md/mph NPPES

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

RAHEEL AHMED MD/MPH (NPI 1134626518) is an individual anatomic pathology & clinical pathology provider in Phoenix, Arizona, licensed in Arizona (70570) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1134626518
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRAHEEL AHMEDCredential: MD/MPH
Location Address424 S 56TH ST STE 110Phoenix, AZ 85034-2177
Mailing AddressPo Box 42210Phoenix, AZ 85080-2210 · (602) 685-5211
Fax(480) 478-8091
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateJuly 15, 20233 updates tracked since enumeration
NPPES CertifiedJuly 15, 2023
NPI 1134626518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in AZ · 70570 Licensed in AL · 43339
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
424 S 56TH ST STE 110, Phoenix, AZ 85034

Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35249-1900 · Phone (205) 934-4011

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 (PECOS)

Raheel Ahmed Md/mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
829 services91 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
472 services233 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
168 services110 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
150 services82 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
113 services16 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
71 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85034 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

88.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.53
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Dermatopathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034

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 Raheel Ahmed's NPI number?

The NPI number for Raheel Ahmed is 1134626518. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Raheel Ahmed located?

Raheel Ahmed practices at 424 S 56th St Ste 110, Phoenix, AZ 85034. The listed phone number is (602) 685-5211.

What is Raheel Ahmed's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Raheel Ahmed enrolled in Medicare?

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

What insurance does Raheel Ahmed accept?

Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Raheel 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.

When was this NPI record last updated?

The NPPES record for Raheel Ahmed was last updated on July 15, 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.