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BILAL AHMAD MD
NPI 1275976607
Internal Medicine - Endocrinology, Diabetes & Metabolism in Jonesboro, GA

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2470 MOUNT ZION PKWY, JONESBORO, GA 30236(404) 365-0966 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2022, Aug 17, 2021 (2 updates tracked since 2021).

About Bilal Ahmad Md NPPES

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

BILAL AHMAD MD (NPI 1275976607) is an individual endocrinology, diabetes & metabolism provider in Jonesboro, Georgia, licensed in Georgia (73270) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2013).

NPPES Registry Identity

NPI1275976607
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameBILAL AHMADCredential: MD
Location Address2470 MOUNT ZION PKWYJonesboro, GA 30236-2500
Mailing Address1015 N Hills DrDecatur, GA 30033-4220 · (404) 667-2261
Phone(404) 365-0966
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateJanuary 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
✔ NPI 1275976607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in GA · 73270
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2470 MOUNT ZION PKWY, Jonesboro, GA 30236
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Bilal Ahmad 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 ID5597099309
PECOS Enrollment IDI20210820001982
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 9

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.
152 services103 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
126 services126 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.
57 services57 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.
37 services37 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services25 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.
30 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

KATHERINE FOLEY MS RD LD CDE
Dietitian, Registered (Nutrition, Renal)
2470 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (770) 603-3978
DR. JAYDEEP SURESH BHAT MD, MPH
Internal Medicine (Gastroenterology)
2470 MOUNT ZION PKWY, GASTROENTEROLOGY
JONESBORO, GA 30236
Clayton County (404) 365-0966
MR. AMISH N. PATEL MD
Internal Medicine (Nephrology)
2470 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD SPECIALTY CENTER
JONESBORO, GA 30236
Clayton County (404) 364-7070
KRISHNA SUMEER TAH PA-C
Physician Assistant
2470 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (404) 365-0966
RODNEY LEON HARRIS MD
Internal Medicine (Gastroenterology)
2470 MOUNT ZION PKWY, DEPARTMENT OF GASTROENTEROLGY
JONESBORO, GA 30236
Clayton County (770) 603-3811
ANITA CONNER RD, LD
Dietitian, Registered (Nutrition, Renal)
2470 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (770) 603-3978
ADRIANA LANEISA CALLENS BSN, RN, CPN
Student in an Organized Health Care Education/Training Program
2470 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (770) 603-3845
DR. JELANI CONWAY AU.D
Audiologist
2470 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (800) 611-1811

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 Bilal Ahmad's NPI number?

The NPI number for Bilal Ahmad is 1275976607. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Bilal Ahmad located?

Bilal Ahmad practices at 2470 Mount Zion Pkwy, Jonesboro, GA 30236. The listed phone number is (404) 365-0966.

What is Bilal Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Bilal Ahmad enrolled in Medicare?

Yes. Bilal 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.

What insurance does Bilal Ahmad accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Bilal Ahmad 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 Bilal Ahmad affiliated with any hospitals?

According to CMS data, Bilal Ahmad is affiliated with Emory University Hospital, Emory University Hospital Midtown and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Bilal Ahmad was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.