ADNAN AHMAD D.O.
NPI 1215917190
Internal Medicine - Gastroenterology in Camp Hill, PA

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
88.7/100
CMS Quality Rating
423 N 21ST ST, SUITE 100, CAMP HILL, PA 17011(717) 761-0930(717) 761-0465 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Sep 10, 2020, Aug 25, 2020 (3 updates tracked since 2020).

About Adnan Ahmad D.o. NPPES

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

ADNAN AHMAD D.O. (NPI 1215917190) is an individual gastroenterology provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (OS013986) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Mechanicsburg.

NPPES Registry Identity

NPI1215917190
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameADNAN AHMADCredential: D.O.
Location Address423 N 21ST ST, SUITE 100Camp Hill, PA 17011-2207
Mailing Address423 N 21st St Ste 100Camp Hill, PA 17011-2207 · (717) 761-0930 · Fax (717) 761-0465
Fax(717) 761-0465
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1998
Enumeration DateJanuary 18, 2006
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1215917190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · OS013986
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
423 N 21ST ST, Camp Hill, PA 17011

Secondary Practice Location 1

Location 12035 Technology Pkwy Ste 200Mechanicsburg, PA 17050-9422 · Phone (717) 988-8567 · Fax (717) 221-5201

Other Identifiers 4

Other1955961PA · Highmark Blue Shield
OtherI15462PA · Healthamerica
Other50068842PA · Capital Blue Cross
Other7385577PA · Aetna Us Healthcare

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

Adnan Ahmad D.o. 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 ID7012984495
PECOS Enrollment IDI20070821000268
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 15

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.

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.
722 services64 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.
410 services64 patients
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.
139 services120 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
97 services97 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
93 services93 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
92 services92 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

88.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.11
Promoting Interoperability100
Improvement Activities40
Cost63.22

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.

Advanced Practice Midwife
423 N 21ST ST
CAMP HILL, PA 17011
Physician Assistant
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011
Licensed Practical Nurse
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011
Neurological Surgery
423 N 21ST ST
CAMP HILL, PA 17011
Urology
423 N 21ST ST, STE 300
CAMP HILL, PA 17011
Advanced Practice Midwife
423 N 21ST ST, SUITE 202
CAMP HILL, PA 17011
Registered Nurse
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011
Licensed Practical Nurse
423 N 21ST ST, SUITE 100
CAMP HILL, PA 17011

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 Adnan Ahmad's NPI number?

The NPI number for Adnan Ahmad is 1215917190. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Adnan Ahmad located?

Adnan Ahmad practices at 423 N 21st St Suite 100, Camp Hill, PA 17011. The listed phone number is (717) 761-0930.

What is Adnan Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Adnan Ahmad enrolled in Medicare?

Yes. Adnan 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.

Is Adnan Ahmad affiliated with any hospitals?

According to CMS data, Adnan Ahmad is affiliated with Penn State Health Holy Spirit Medical Center and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Adnan Ahmad was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.