NAILA B AHMAD MD
NPI 1366451619
Internal Medicine - Rheumatology in Easton, MD

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
505 DUTCHMANS LN STE A3, EASTON, MD 21601(410) 819-6545(410) 819-6750 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, May 20, 2025, Dec 8, 2022 and 3 more (6 updates tracked since 2018).

About Naila B Ahmad Md NPPES

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

NAILA B AHMAD MD (NPI 1366451619) is an individual rheumatology provider in Easton, Maryland, licensed in Maryland (D68692) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Gundersen Lutheran Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366451619
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNAILA B AHMADCredential: MD
Location Address505 DUTCHMANS LN STE A3Easton, MD 21601-4302
Mailing Address505 Dutchmans Ln Ste A3Easton, MD 21601-4302 · (410) 819-6545 · Fax (410) 819-6750
Fax(410) 819-6750
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 24, 20266 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1366451619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MD · D68692✔ Licensed in MT · 175314✔ Licensed in WA · MD00040168✔ Licensed in WI · 13308-320
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
505 DUTCHMANS LN STE A3, Easton, MD 21601

Other Names 1

Former Name (1)Naila Ahmad M.d.

Secondary Practice Locations 2

Location 11415 S Division St Ste ASalisbury, MD 21804-7291 · Phone (410) 860-6801 · Fax (410) 860-6864
Location 21401 25th St SGreat Falls, MT 59405-5183 · Phone (406) 731-8853

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

Naila B 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 ID9739074782
PECOS Enrollment IDI20200831000017, I20250528002222
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 Reassignments

3

Medicare enrollment records show Naila Ahmad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rheumatology
505 DUTCHMANS LN STE A3
Easton, MD 21601
  • Reassigned Medicare billing, Maryland enrollment
  • 7 clinicians in this Medicare group
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Rheumatology
29798 HAUN RD, SUITE 301
Menifee, CA 92586
  • Reassigned Medicare billing, California enrollment
  • 13 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 15

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
35,840 services21 patients
Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
15,600 services17 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
8,040 services49 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
6,225 services20 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
612 services192 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.
526 services334 patients

Hospital Affiliations CMS Care Compare 2

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

Gundersen Lutheran Medical Center

Acute Care Hospitals · La Crosse, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520087
Location1910 South AveLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Gundersen St Josephs Hospital And Clinics

Critical Access Hospitals · Hillsboro, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521304
Location400 Water AveHillsboro, WI 54634 · Vernon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21601 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.32
Improvement Activities40
Cost27.02

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Rheumatology)
505 DUTCHMANS LN STE A3
EASTON, MD 21601
Family Medicine
505 DUTCHMANS LN STE A3
EASTON, MD 21601
Family Medicine
505 DUTCHMANS LN STE A3
EASTON, MD 21601
Internal Medicine (Cardiovascular Disease)
505 DUTCHMANS LN STE A3
EASTON, MD 21601
Non-Pharmacy Dispensing Site
505 DUTCHMANS LN STE A3
EASTON, MD 21601
Internal Medicine (Rheumatology)
505 DUTCHMANS LN STE A3
EASTON, MD 21601
Internal Medicine (Rheumatology)
505 DUTCHMANS LN STE A3
EASTON, MD 21601

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 Naila Ahmad's NPI number?

The NPI number for Naila Ahmad is 1366451619. It was assigned to this individual provider in the NPPES registry on August 5, 2006. The provider is also known as Naila Ahmad M.D..

Where is Naila Ahmad located?

Naila Ahmad practices at 505 Dutchmans Ln Ste A3, Easton, MD 21601. The listed phone number is (410) 819-6545.

What is Naila Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Naila Ahmad enrolled in Medicare?

Yes. Naila 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.

Which organizations bill Medicare for Naila Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naila Ahmad reassigns Medicare benefits to 3 organizations: Edmund J. Maclaughlin, MD, LLC (Easton, MD), Gundersen Lutheran Medical Center Inc (Milwaukee, WI) and Southland Arthrites And Osteoporosis Medical Center Inc (Menifee, CA). 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 Naila Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Naila Ahmad accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Quartz list Naila 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 Naila Ahmad affiliated with any hospitals?

According to CMS data, Naila Ahmad is affiliated with Gundersen Lutheran Medical Center and Gundersen St Josephs Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Naila Ahmad was last updated on August 24, 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.