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AHMED SHAHZAD M.D.
NPI 1255300422
Internal Medicine - Nephrology in Darby, PA

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1501 LANSDOWNE AVE STE 206, DARBY, PA 19023(215) 395-6213(610) 705-7959 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Jul 30, 2020 (2 updates tracked since 2020).

About Ahmed Shahzad M.d. NPPES

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

AHMED SHAHZAD M.D. (NPI 1255300422) is an individual nephrology provider in Darby, Pennsylvania, licensed in New Jersey (25MA07482000) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lower Bucks Hospital, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1255300422
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameAHMED SHAHZADCredential: M.D.
Location Address1501 LANSDOWNE AVE STE 206Darby, PA 19023-1333
Mailing Address2821 Island Ave, Suite 131Philadelphia, PA 19153-2300 · (215) 863-6171 · Fax (215) 863-2364
Phone(215) 395-6213
Fax(610) 705-7959
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 17, 2006
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1255300422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in NJ · 25MA07482000✔ Licensed in PA · MD055409L
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1501 LANSDOWNE AVE STE 206, Darby, PA 19023
Open in Google Maps ↗

Other Identifiers 1

Medicaid1022738410001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Ahmed Shahzad 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 ID9133144389
PECOS Enrollment IDI20090317000396
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 10

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.

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.
678 services113 patients
Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
432 services17 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
166 services25 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.
112 services45 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.
77 services64 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
65 services56 patients

Hospital Affiliations CMS Care Compare 3

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

Lower Bucks Hospital

Acute Care Hospitals · Bristol, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390070
Location501 Bath RoadBristol, PA 19007 · Bucks County
Emergency services

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.65
Improvement Activities40
Cost100

Reported Quality Measures

Breast Cancer Screening
0%23 patients1/55-star benchmark: 93%
Colorectal Cancer Screening
0%80 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
79%72 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
58%50 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
64%50 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%242 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
65%77 patients3/55-star benchmark: 100%
HIV Screening
0%44 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%117 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%116 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
17%48 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 66 patients
0%66 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
90%50 patients4/55-star benchmark: 91%
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANNA C. FALKOWITZ MD
Internal Medicine (Nephrology)
1501 LANSDOWNE AVE STE 206
DARBY, PA 19023
Delaware County (215) 395-6213
NEPHROLOGY ASSOCIATES OF DELAWARE COUNTY PC
Internal Medicine (Nephrology)
1501 LANSDOWNE AVE STE 206
DARBY, PA 19023
Delaware County (215) 395-6213

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 Ahmed Shahzad's NPI number?

The NPI number for Ahmed Shahzad is 1255300422. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Ahmed Shahzad located?

Ahmed Shahzad practices at 1501 Lansdowne Ave Ste 206, Darby, PA 19023. The listed phone number is (215) 395-6213.

What is Ahmed Shahzad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ahmed Shahzad enrolled in Medicare?

Yes. Ahmed Shahzad 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 Ahmed Shahzad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ahmed Shahzad 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 Ahmed Shahzad affiliated with any hospitals?

According to CMS data, Ahmed Shahzad is affiliated with Lower Bucks Hospital, Mercy Catholic Medical Center- Mercy Fitzgerald and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Ahmed Shahzad was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.