DR. IDREES AHMAD M.D.
NPI 1164533527
Anesthesiology - Pain Medicine in Millburn, NJ

NPI Status: Active since August 31, 2006

Contact Information

187 MILLBURN AVE
MILLBURN, NJ
ZIP 07041
Phone: (973) 467-1466

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  • Individual
  • Male
  • Years of Experience 49
  • Anesthesiology
  • Pain Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About IDREES AHMAD

This page provides the complete NPI Profile along with additional information for Idrees Ahmad, a provider established in Millburn, New Jersey with a medical specialization in Anesthesiology, focusing in pain medicine and more than 49 years of experience. The healthcare provider is registered in the NPI registry with number 1164533527 assigned on August 2006. The practitioner's primary taxonomy code is 207LP2900X with license number 25MA04153300 (NJ). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1164533527
Provider Name
DR. IDREES AHMAD M.D.
Gender
Male
Entity Type
Individual
Location Address
187 MILLBURN AVE MILLBURN, NJ 07041
Location Phone
(973) 467-1466
Mailing Address
187 MILLBURN AVE MILLBURN, NJ 07041
Medical School Name
OTHER
Graduation Year
1977
Is Sole Proprietor?
No
Enumeration Date
08-31-2006
Last Update Date
03-26-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology Pain Medicine

Taxonomy Code
207LP2900X
Type
Allopathic & Osteopathic Physicians
License No.
25MA04153300
License State
NJ
Taxonomy Description
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

25MA04153300 (NJ)
2208VP0000XAllopathic & Osteopathic Physicians

Pain Medicine
Pain Medicine

25MA04153300 (NJ)
3208VP0014XAllopathic & Osteopathic Physicians

Pain Medicine
Interventional Pain Medicine

25MA04153300 (NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D96606MEDICARE UPIN (02)NJ 
4969103MEDICAID (05)NJ 
430340TZGOTHER (01)NJMEDICARE

Medicare Participation & PECOS Enrollment Status

Idrees Ahmad is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Idrees Ahmad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577515535

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050217000620

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. IDREES AHMAD M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164533527, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 3 + 6 + 5 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1164533527.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
187 MILLBURN AVE
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE, SUITE 100
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE, SUITE 110
MILLBURN, NJ 07041
Pharmacy
187 MILLBURN AVE
MILLBURN, NJ 07041
Anesthesiology
187 MILLBURN AVE
MILLBURN, NJ 07041
Anesthesiology
187 MILLBURN AVE
MILLBURN, NJ 07041
Dentist (Periodontics)
187 MILLBURN AVE, SUITE 2
MILLBURN, NJ 07041
Anesthesiology
187 MILLBURN AVE
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE, SUITE 110
MILLBURN, NJ 07041
Anesthesiology (Pain Medicine)
187 MILLBURN AVE
MILLBURN, NJ 07041
Dentist (Endodontics)
187 MILLBURN AVE, SUITE 7
MILLBURN, NJ 07041
Dentist (General Practice)
187 MILLBURN AVE, SUITE #1
MILLBURN, NJ 07041
Specialist
187 MILLBURN AVE, SUITE 3
MILLBURN, NJ 07041
Dentist (General Practice)
187 MILLBURN AVE
MILLBURN, NJ 07041
Dentist (General Practice)
187 MILLBURN AVE, SUITE 5
MILLBURN, NJ 07041
Dentist (General Practice)
187 MILLBURN AVE, SUITE #1
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE, SUITE 110
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE, SUITE 110
MILLBURN, NJ 07041
Physical Therapist
187 MILLBURN AVE, STE 110
MILLBURN, NJ 07041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164533527, enumerated as an "individual" on August 31, 2006.

The provider is located at 187 MILLBURN AVE MILLBURN, NJ 07041 and the phone number is (973) 467-1466.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.