MUHAMMAD ERFAN AHMAD M.D.
NPI 1164731923
Family Medicine in Mukwonago, WI

Q: What is Muhammad Ahmad's NPI number?

The NPI number for Muhammad Ahmad is 1164731923. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Muhammad Ahmad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Muhammad Ahmad was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 28, 2010PECOS EnrolledAccepts Medicare Assignment

82.39/100

CMS Quality Rating

240 MAPLE AVE, MUKWONAGO, WI 53149(262) 928-1900(262) 928-1949 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 17, 2025, Jul 10, 2025, Jun 8, 2020 (3 updates tracked since 2020).

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About Muhammad Erfan Ahmad M.d. NPPES

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

MUHAMMAD ERFAN AHMAD M.D. (NPI 1164731923) is an individual family medicine provider in Mukwonago, Wisconsin, licensed in Wisconsin (57642-20) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164731923

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMUHAMMAD ERFAN AHMADCredential: M.D.

Location Address240 MAPLE AVEMukwonago, WI 53149-8475

Mailing Address240 Maple AveMukwonago, WI 53149-8475 · (262) 928-1900 · Fax (262) 928-1949

Phone(262) 928-1900

Fax(262) 928-1949

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 28, 2010

Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2025

✔ NPI 1164731923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 57642-20✔ Licensed in OH · 35.120112

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

240 MAPLE AVE, Mukwonago, WI 53149

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Muhammad Erfan Ahmad M.d. 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 ID941454482

PECOS Enrollment IDI20130712000589

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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

363 services176 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

146 services123 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

99 services99 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

44 services35 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

32 services32 patients

Smoking and tobacco use intensive counseling, more than 10 minutes 99407

This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.

32 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520008

Location725 American AveWaukesha, WI 53188 · Waukesha County

Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520096

Location3801 Spring StRacine, WI 53405 · Racine County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53149 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

82.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers30 claims117 services$5.66 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers17 claims22 services$1.03 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 suppliers23 claims23 services$16.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers32 claims32 services$73.15 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers14 claims14 services$21.34 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers29 claims29 services$167.17 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.

ALYSSA ZIELKE P.A.

Physician Assistant

240 MAPLE AVE, PROHEALTH CARE MEDICAL ASSOCIATES INC
MUKWONAGO, WI 53149

Waukesha County (262) 928-1900

JACQUELINE RADAJ MSN, APNP, FNP-C

Nurse Practitioner (Family)