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

Q: 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.

Q: What is Omer Ahmed's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

Phone(212) 562-1720

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Insurance Company.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

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.

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

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

39 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services23 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.

18 services18 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

16 services16 patients

Test to measure largest amount of air breathed in an out 94200

This test, called spirometry, measures your lung capacity. It involves taking a deep breath and then exhaling as forcefully as possible into a machine. The results help assess how well your lungs function.

14 services14 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

14 services14 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

14 services14 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

12 services12 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

Quality

59.66

Promoting Interoperability

100

Improvement Activities

Cost

63.71

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.

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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.

DR. ROBERT MICHAEL LEMBO MD

Pediatrics (Hospice and Palliative Medicine)

462 1ST AVE
NEW YORK, NY 10016

New York County (212) 263-6425

MISS SHARONA DEBORAH KASHIMALLAK RPA-C

Physician Assistant (Medical)

462 1ST AVE
NEW YORK, NY 10016

New York County (516) 578-9951

ALEXANDRA KVERNLAND MD

Psychiatry & Neurology (Vascular Neurology)

462 1ST AVE
NEW YORK, NY 10016

New York County (212) 562-4141

RACHEL ZOE BAUMSTEIN DPT

Physical Therapist

462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016

New York County (212) 562-7059

ALIXANDRA LIN PETERSEN DPT

Physical Therapist

462 1ST AVE
NEW YORK, NY 10016

New York County (212) 562-7059

ABIGAIL LLOYD

Social Worker

462 1ST AVE
NEW YORK, NY 10016

New York County (212) 562-4141

TALYA BUXBAUM

Physician Assistant

462 1ST AVE
NEW YORK, NY 10016

New York County (516) 309-3239

MR. ALEX DASILVA NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)

462 1ST AVE
NEW YORK, NY 10016

New York County (646) 236-0823

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.

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 with the weekly NPPES data releases published by CMS.