AHMAD ATHER M.D
NPI 1356028476
Internal Medicine in Southfield, MI

Active since June 30, 2023PECOS Enrolled
22250 PROVIDENCE DR 3PMB SUITE #301 ACADEMIC INTERNAL M, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-2899 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahmad Ather M.d NPPES

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

AHMAD ATHER M.D (NPI 1356028476) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4351051163) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356028476
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAHMAD ATHERCredential: M.D
Location Address22250 PROVIDENCE DR 3PMB SUITE #301 ACADEMIC INTERNAL MSouthfield, MI 48075-4818
Mailing Address22250 Providence Dr 3pmb Suite #391 Academic Internal MSouthfield, MI 48075 · (248) 849-3281 · Fax (248) 849-2899
Fax(248) 849-2899
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 30, 2023
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedJune 30, 2023
✔ NPI 1356028476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4351051163
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.

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ahmad Ather M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42664591
PECOS Enrollment IDI20260814001451
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 Ahmad Ather reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology
1100 9TH AVE
Seattle, WA 98101
  • Reassigned Medicare billing, Washington enrollment
  • 1,021 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Ahmad Ather's NPI number?

The NPI number for Ahmad Ather is 1356028476. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Where is Ahmad Ather located?

Ahmad Ather practices at 22250 Providence Dr 3pmb Suite #301 Academic Internal M, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Ahmad Ather's specialty?

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

Is Ahmad Ather enrolled in Medicare?

Yes. Ahmad Ather is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ahmad Ather's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Ather reassigns Medicare benefits to Virginia Mason Medical Center (Seattle, WA). 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 Ahmad Ather's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmad Ather accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ahmad Ather 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.

When was this NPI record last updated?

The NPPES record for Ahmad Ather was last updated on September 13, 2023. 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.