HUMERA FATIMA AHMAD M.D.
NPI 1174934806
Surgery in Green Bay, WI

Active since May 15, 2014PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1715 DOUSMAN ST, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Humera Fatima Ahmad M.d. NPPES

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

HUMERA FATIMA AHMAD M.D. (NPI 1174934806) is an individual surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (64385-20) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1174934806
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameHUMERA FATIMA AHMADCredential: M.D.
Location Address1715 DOUSMAN STGreen Bay, WI 54303-3211
Mailing Address1715 Dousman StGreen Bay, WI 54303-3211 · (920) 496-4700
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2014
Enumeration DateMay 15, 2014
Last NPPES UpdateJuly 9, 2019
NPI 1174934806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WI · 64385-20
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1715 DOUSMAN ST, Green Bay, WI 54303

Secondary Practice Location 1

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

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 and accepts Medicare assignment

Humera Fatima 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 ID9436467206
PECOS Enrollment IDI20190716000104
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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Hshs St Clare Memorial Hospital

Critical Access Hospitals · Oconto Falls, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521310
Location855 S Main StOconto Falls, WI 54154 · Oconto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Specialist/Technologist, Other (Surgical Assistant)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Nurse Practitioner (Adult Health)
1715 DOUSMAN ST
GREEN BAY, WI 54303
Orthopaedic Surgery
1715 DOUSMAN ST
GREEN BAY, WI 54303
Registered Nurse
1715 DOUSMAN ST
GREEN BAY, WI 54303
Pediatrics
1715 DOUSMAN ST
GREEN BAY, WI 54303

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 Humera Ahmad's NPI number?

The NPI number for Humera Ahmad is 1174934806. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Humera Ahmad located?

Humera Ahmad practices at 1715 Dousman St, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Humera Ahmad's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Humera Ahmad enrolled in Medicare?

Yes. Humera Ahmad 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.

What insurance does Humera Ahmad accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Humera Ahmad 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 Humera Ahmad affiliated with any hospitals?

According to CMS data, Humera Ahmad is affiliated with St Vincent Hospital, St Mary's Hospital Medical Center and Hshs St Clare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Humera Ahmad was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.