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DR. AHMED M MADI MD
NPI 1316996994
Internal Medicine in Leavenworth, KS

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment
18.78/100
CMS Quality Rating
3500 S 4TH ST FL 1, LEAVENWORTH, KS 66048(913) 787-3063(913) 839-3303 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2022, Aug 15, 2022, Sep 1, 2020 (3 updates tracked since 2020).

About Dr. Ahmed M Madi Md NPPES

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

DR. AHMED M MADI MD (NPI 1316996994) is an individual internal medicine provider in Leavenworth, Kansas, licensed in Kansas (04-31637) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint John Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1316996994
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. AHMED M MADICredential: MD
Location Address3500 S 4TH ST FL 1Leavenworth, KS 66048-5043
Mailing Address25123 W 105th TerOlathe, KS 66061-7654 · (913) 787-3063 · Fax (913) 839-3303
Phone(913) 787-3063
Fax(913) 839-3303
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateMay 9, 2006
Last NPPES UpdateOctober 6, 20223 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1316996994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in KS · 04-31637✔ Licensed in MO · 2006009459
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.
3500 S 4TH ST FL 1, Leavenworth, KS 66048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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

Dr. Ahmed M Madi 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 ID7416859970
PECOS Enrollment IDI20060615000134, I20081017000170
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 7

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.
1,791 services154 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
297 services137 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
286 services135 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
235 services218 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.
207 services142 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
184 services136 patients

Hospital Affiliations CMS Care Compare 5

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

Saint John Hospital

Acute Care Hospitals · Leavenworth, KS
OwnershipVoluntary non-profit - Other
CMS Certification Number170009
Location3500 South 4th StreetLeavenworth, KS 66048 · Leavenworth County
Emergency services

Providence Medical Center

Acute Care Hospitals · Kansas City, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170146
Location8929 Parallel ParkwayKansas City, KS 66112 · Wyandotte County
Emergency services Birthing friendly

Centerpoint Medical Center

Acute Care Hospitals · Independence, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260095
Location19600 East 39th StreetIndependence, MO 64057 · Jackson County
Emergency services Birthing friendly

North Kansas City Hospital

Acute Care Hospitals · North Kansas City, MO
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260096
Location2800 Clay Edwards DriveNorth Kansas City, MO 64116 · Clay County
Emergency services Birthing friendly

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66048 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

18.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost62.62

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers12 claims756 services$0.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers12 claims12 services$15.53 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier15 claims15 services$875.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers12 claims12 services$4.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers40 claims40 services$63.96 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$27.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Madi's NPI number?

The NPI number for Ahmed Madi is 1316996994. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Ahmed Madi located?

Ahmed Madi practices at 3500 S 4th St Fl 1, Leavenworth, KS 66048. The listed phone number is (913) 787-3063.

What is Ahmed Madi's specialty?

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

Is Ahmed Madi enrolled in Medicare?

Yes. Ahmed Madi 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 Madi accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Ahmed Madi 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 Madi affiliated with any hospitals?

According to CMS data, Ahmed Madi is affiliated with Saint John Hospital, Providence Medical Center, Centerpoint Medical Center, North Kansas City Hospital and Lee's Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Ahmed Madi was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.