NILOFER A AHSAN MD
NPI 1245338615
Internal Medicine - Rheumatology in Albany, GA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
425 W 3RD AVE, STE 410, ALBANY, GA 31701(229) 312-7800(229) 312-7805 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nilofer A Ahsan Md NPPES

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

NILOFER A AHSAN MD (NPI 1245338615) is an individual rheumatology provider in Albany, Georgia, licensed in Georgia (051421) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1245338615
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNILOFER A AHSANCredential: MD
Location Address425 W 3RD AVE, STE 410Albany, GA 31701-1941
Mailing Address500 W 3rd AveAlbany, GA 31701-1985 · (229) 312-5869
Fax(229) 312-7805
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 28, 2011
NPI 1245338615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in GA · 051421
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
425 W 3RD AVE, Albany, GA 31701

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

Nilofer A Ahsan Md 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 ID7618004086
PECOS Enrollment IDI20100416000612
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 2

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.
140 services63 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Phoebe Worth Medical Center

Critical Access Hospitals · Sylvester, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number111328
Location807 South Isabella StreetSylvester, GA 31791 · Worth County
Emergency services

Archbold Mitchell

Critical Access Hospitals · Camilla, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111331
Location90 E Stephens StreetCamilla, GA 31730 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31701 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%4,839 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%219 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%1,039 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,039 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%1,039 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%1,039 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
425 W 3RD AVE, SUITE 105
ALBANY, GA 31701
Nurse Practitioner (Family)
425 W 3RD AVE, STE 105
ALBANY, GA 31701
Physiological Laboratory
425 W 3RD AVE, SUITE 510
ALBANY, GA 31701
Family Medicine
425 W 3RD AVE, SUITE 500
ALBANY, GA 31701
Nurse Practitioner (Family)
425 W 3RD AVE, STE 600
ALBANY, GA 31701
Surgery
425 W 3RD AVE, SUITE 410
ALBANY, GA 31701
Physician Assistant
425 W 3RD AVE, SUITE 600
ALBANY, GA 31701
Nurse Practitioner (Family)
425 W 3RD AVE, STE 550
ALBANY, GA 31701

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 Nilofer Ahsan's NPI number?

The NPI number for Nilofer Ahsan is 1245338615. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Nilofer Ahsan located?

Nilofer Ahsan practices at 425 W 3rd Ave Ste 410, Albany, GA 31701. The listed phone number is (229) 312-7800.

What is Nilofer Ahsan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nilofer Ahsan enrolled in Medicare?

Yes. Nilofer Ahsan 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 Nilofer Ahsan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Nilofer Ahsan 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 Nilofer Ahsan affiliated with any hospitals?

According to CMS data, Nilofer Ahsan is affiliated with Phoebe Putney Memorial Hospital, Phoebe Worth Medical Center and Archbold Mitchell.

When was this NPI record last updated?

The NPPES record for Nilofer Ahsan was last updated on November 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.