AWAIS AHMED MD
NPI 1316213481
Internal Medicine - Gastroenterology in Oshkosh, WI
About Awais Ahmed Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AWAIS AHMED MD (NPI 1316213481) is an individual gastroenterology provider in Oshkosh, Wisconsin, licensed in Wisconsin (13779) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 3
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Awais Ahmed 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.
Medicare Billing Reassignments
6Medicare enrollment records show Awais Ahmed reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 358 clinicians in this Medicare group
Terre Haute, IN 47807
- Reassigned Medicare billing, Indiana enrollment
- 306 clinicians in this Medicare group
Pittsfield, MA 01201
- Reassigned Medicare billing, Massachusetts enrollment
- 405 clinicians in this Medicare group
Hyannis, MA 02601
- Reassigned Medicare billing, Massachusetts enrollment
- 678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Union Hospital Inc
Acute Care Hospitals · Terre Haute, INIndiana University Health
Acute Care Hospitals · Indianapolis, INAurora Medical Ctr Oshkosh
Acute Care Hospitals · Oshkosh, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OSHKOSH, WI 54904
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 Awais Ahmed's NPI number?
The NPI number for Awais Ahmed is 1316213481. It was assigned to this individual provider in the NPPES registry on March 22, 2012.
Where is Awais Ahmed located?
Awais Ahmed practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.
What is Awais Ahmed's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Awais Ahmed enrolled in Medicare?
Yes. Awais 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.
Which organizations bill Medicare for Awais Ahmed's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Awais Ahmed reassigns Medicare benefits to 6 organizations: Aurora Medical Group, Inc. (Sheboygan, WI), Iu Health Medical Group, LLC (Indianapolis, IN), University Medical Diagnostic Associates, Inc. (Indianapolis, IN), Union Associated Physicians Clinic, LLC (Terre Haute, IN), Berkshire Faculty Services Inc (Pittsfield, MA) and 1 more organization, listed in the Medicare section above. Each 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 Awais Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Awais Ahmed accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare), Cigna Healthcare and Taro Health and 1 other insurer list Awais 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 Awais Ahmed affiliated with any hospitals?
According to CMS data, Awais Ahmed is affiliated with Union Hospital Inc, Indiana University Health and Aurora Medical Ctr Oshkosh.
When was this NPI record last updated?
The NPPES record for Awais Ahmed was last updated on October 21, 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.
# Awais Ahmed, MD · NPI 1316213481
Gastroenterology physician in Oshkosh, Wisconsin. Individual provider, active in the CMS NPPES registry since March 22, 2012.
## Identity
- **NPI:** 1316213481 (Entity type: Individual)
- **Enumerated:** March 22, 2012
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 13779 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 855 N WESTHAVEN DR, Oshkosh, WI 54904-7668
- **Phone:** (920) 303-8700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); University Medical Diagnostic Associates, Inc. (NPI 1861441537, Indianapolis, IN); Union Associated Physicians Clinic, LLC (NPI 1891028379, Terre Haute, IN); Berkshire Faculty Services Inc (NPI 1548212939, Pittsfield, MA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 21, 2025
- **Other identifiers:** Medicaid 100369733 (WI); Medicaid 300079052 (IN); Other 1103680373 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1316213481) · Data from the CMS NPPES public registry.