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DR. SHAHAMAH AHMED MD
NPI 1295430643
Internal Medicine in Ottawa, IL

Active since April 04, 2023PECOS Enrolled
1614 E NORRIS DR, OTTAWA, IL 61350(815) 433-1010 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2026, Apr 4, 2023 (2 updates tracked since 2023).

About Dr. Shahamah Ahmed Md NPPES

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

DR. SHAHAMAH AHMED MD (NPI 1295430643) is an individual internal medicine provider in Ottawa, Illinois, licensed in Illinois (036181544) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295430643
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAHAMAH AHMEDCredential: MD
Location Address1614 E NORRIS DROttawa, IL 61350-3681
Mailing Address1614 E Norris DrOttawa, IL 61350-3681 · (815) 433-1010
Phone(815) 433-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 4, 2023
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1295430643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036181544
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1614 E NORRIS DR, Ottawa, IL 61350
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shahamah Ahmed Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961962360
PECOS Enrollment IDI20260904001406
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 Reassignment

Medicare enrollment records show Shahamah Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ottawa Regional Hospital & Healthcare Center
0.5 mi
General Acute Care Hospital
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1306971080 (815) 433-3100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61350 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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. RAUL V GUERRERO MD
Internal Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
OTTAWA REGIONAL MEDICAL CENTER INC.
Internal Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
OTTAWA MEDICAL CENTER, PC
Clinic/Center (Multi-Specialty)
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Clinic/Center (Rural Health)
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
DR. DAVID O MANIGOLD MD
Internal Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
GUEORGUI S GUEORGUIEV M.D.
Family Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
DR. ADRIANA P DUMITRESCU MD
Family Medicine
1614 E NORRIS DR
OTTAWA, IL 61350
Lasalle County (815) 433-1010
CHENGLU LIU M.D.
Surgery
1614 E NORRIS DR, SUITE 2B
OTTAWA, IL 61350
Lasalle County (815) 433-1010

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 Shahamah Ahmed's NPI number?

The NPI number for Shahamah Ahmed is 1295430643. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Shahamah Ahmed located?

Shahamah Ahmed practices at 1614 E Norris Dr, Ottawa, IL 61350. The listed phone number is (815) 433-1010.

What is Shahamah Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shahamah Ahmed enrolled in Medicare?

Yes. Shahamah Ahmed is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shahamah Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahamah Ahmed reassigns Medicare benefits to Ottawa Regional Hospital & Healthcare Center (Ottawa, IL). The 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 Shahamah Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shahamah Ahmed was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.