OMER AHMED M.D.
NPI 1235387119
Internal Medicine - Sleep Medicine in New York, NY

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
77.01/100
CMS Quality Rating
462 1ST AVE, PULMONARY DIVISION BV 7N24, NEW YORK, NY 10016(212) 562-1720(212) 562-1728 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2017, Dec 3, 2015 (2 updates tracked since 2015).

About Omer Ahmed M.d. NPPES

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

OMER AHMED M.D. (NPI 1235387119) is an individual sleep medicine provider in New York, New York, licensed in New York (281754) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health Pascack Valley Medical, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1235387119
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameOMER AHMEDCredential: M.D.
Location Address462 1ST AVE, PULMONARY DIVISION BV 7N24New York, NY 10016-9196
Mailing Address462 1st Ave, Pulmonary Division Bv 7n24New York, NY 10016-9196 · (212) 562-1720 · Fax (212) 562-1728
Fax(212) 562-1728
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJanuary 5, 20172 updates tracked since enumeration
✔ NPI 1235387119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in NY · 281754
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 281754 (NY), R70636 (AZ)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 40969 (AZ)
462 1ST AVE, New York, NY 10016

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omer Ahmed 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 ID5294999116
PECOS Enrollment IDI20170124000076, I20191226002076
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.

Medicare Billing Reassignments

12

Medicare enrollment records show Omer Ahmed reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sleep Medicine
330 W 58TH ST STE 509
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Critical Care Medicine
7600 RIVER RD
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
Critical Care Medicine
55 MEADOWLANDS PKWY
Secaucus, NJ 07094
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
30 PROSPECT AVE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 110 clinicians in this Medicare group
Hospitalist
250 OLD HOOK RD
Westwood, NJ 07675
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
Multi-Specialty
1980 CROMPOND RD
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 307 clinicians in this Medicare group
Internal Medicine
20 GRAND ST, 3RD FLOOR
Warwick, NY 10990
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
Internal Medicine
101 HOSPITAL RD
East Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 640 clinicians in this Medicare group
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
227 services124 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.
134 services110 patients
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.
108 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services44 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
47 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ
4/5 CMS rating
OwnershipProprietary
CMS Certification Number310130
Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County
Emergency services Birthing friendly

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

77.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability100
Improvement Activities40
Cost63.71

Referred Medical Equipment & Supplies CMS DME claims 12

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers104 claims104 services$34.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers38 claims38 services$76.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers38 claims114 services$28.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers37 claims218 services$16.24 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers32 claims183 services$13.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers78 claims78 services$47.72 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.

Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
Social Worker
462 1ST AVE
NEW YORK, NY 10016
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016

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 Omer Ahmed's NPI number?

The NPI number for Omer Ahmed is 1235387119. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Omer Ahmed located?

Omer Ahmed practices at 462 1st Ave Pulmonary Division Bv 7n24, New York, NY 10016. The listed phone number is (212) 562-1720.

What is Omer Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Omer Ahmed enrolled in Medicare?

Yes. Omer Ahmed 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.

Which organizations bill Medicare for Omer Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omer Ahmed reassigns Medicare benefits to 12 organizations: Medical Service Practice, PC (New York, NY), Riverfront Intensivists (North Bergen, NJ), Secaucus Physician Associates (Secaucus, NJ), Cogent Healthcare Of New Jersey, PC (Hackensack, NJ), Hook Inpatient Services LLC (Westwood, NJ) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omer Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omer Ahmed accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Insurance Company list Omer 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.

Is Omer Ahmed affiliated with any hospitals?

According to CMS data, Omer Ahmed is affiliated with Hackensack Meridian Health Pascack Valley Medical, Garnet Health Medical Center, Bon Secours Community Hospital, Good Samaritan Hospital Of Suffern and St Anthony Community Hospital.

When was this NPI record last updated?

The NPPES record for Omer Ahmed was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.