Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NADEEM AHMED M.D.
NPI 1376546804
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Q: What is Nadeem Ahmed's NPI number?

The NPI number for Nadeem Ahmed is 1376546804. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Q: What is Nadeem Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Nadeem Ahmed was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since May 30, 2005PECOS Enrolled

777 CRAIG RD STE 130, SAINT LOUIS, MO 63141(314) 473-6183(314) 552-7579 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Jun 1, 2021, May 27, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Nadeem Ahmed M.d. NPPES

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

DR. NADEEM AHMED M.D. (NPI 1376546804) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (R4P08) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1376546804

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. NADEEM AHMEDCredential: M.D.

Location Address777 CRAIG RD STE 130Saint Louis, MO 63141-7133

Mailing Address777 Craig Rd Ste 130Saint Louis, MO 63141-7133 · (314) 473-6183 · Fax (314) 552-7579

Phone(314) 473-6183

Fax(314) 552-7579

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateMay 30, 2005

Last NPPES UpdateOctober 27, 20264 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1376546804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MO · R4P08

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License R4P08 (MO)

777 CRAIG RD STE 130, Saint Louis, MO 63141

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Secondary Practice Locations 4

Location 112837 Flushing Meadows Dr Ste 100BSaint Louis, MO 63131-1824 · Phone (314) 432-1111

Location 22 Terminal Dr Ste 8East Alton, IL 62024-2294 · Phone (618) 258-0485 · Fax (618) 258-4815

Location 31400 LeMay Ferry RdSaint Louis, MO 63125-2408 · Phone (314) 685-8721

Location 43009 N Ballas Rd Ste 100BSaint Louis, MO 63131-2322 · Phone (314) 432-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Nadeem Ahmed M.d. 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 ID9032029848

PECOS Enrollment IDI20050104000139, I20110210000486

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

Medicare enrollment records show Nadeem Ahmed reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Pulmonary And Critical Care Consultants Inc

Same address

Pulmonary Disease

777 CRAIG ROAD, SUITE 130
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment

NPI 1023138369 (314) 473-6183

Physician Specialists Of St Lukes LLC

3.9 mi

Internal Medicine

232 S WOODS MILL RD
Chesterfield, MO 63017

Reassigned Medicare billing, Missouri enrollment
215 clinicians in this Medicare group

NPI 1235168410 (314) 434-1500

Impact Physician Group, Missouri, LLC

5.7 mi

Internal Medicine

12380 DE PAUL DR
Bridgeton, MO 63044

Reassigned Medicare billing, Missouri enrollment
38 clinicians in this Medicare group

NPI 1962971531 (314) 447-9700

Southern Illinois Healthcare Foundation, Inc.

15 mi

Federally Qualified Health Center (FQHC)

308 MADISON AVE
Madison, IL 62060

Reassigned Medicare billing, Illinois enrollment
164 clinicians in this Medicare group

NPI 1255514717 (618) 397-3303

Touchette Regional Hospital Inc

19 mi

Emergency Medicine

5900 BOND AVE
Cahokia Heights, IL 62207

Reassigned Medicare billing, Illinois enrollment
68 clinicians in this Medicare group

NPI 1922019926 (618) 332-3060

Jersey Community Hospital District

31 mi

Family Medicine

400 MAPLE SUMMIT RD
Jerseyville, IL 62052

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Jersey Community Hospital
61 clinicians in this Medicare group

NPI 1134163827 (618) 498-6402

Washington County Memorial Hospital

54 mi

Critical Access

300 HEALTH WAY DR
Potosi, MO 63664

Reassigned Medicare billing, Missouri enrollment
42 clinicians in this Medicare group

NPI 1194838821 (573) 438-5451

Granite City Hospitalist Services LLC

91 mi

Hospitalist

2250 N ILLINOIS AVE
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
88 clinicians in this Medicare group

NPI 1669926424 (618) 833-1691

Osf Multi-Specialty Group

152 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1922445527 (309) 683-5050

Waukegan Clinic Corp

290 mi

Family Medicine

1324 N SHERIDAN RD
Waukegan, IL 60085

Reassigned Medicare billing, Illinois enrollment
166 clinicians in this Medicare group

NPI 1306937289 (847) 360-3000

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 16

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 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

538 services97 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.

450 services244 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

281 services79 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

204 services203 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

204 services203 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

169 services168 patients

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.

73 services47 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

57 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

55 services51 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

50 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services31 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

37 services32 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

31 services31 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

29 services29 patients

Change of breathing tube in windpipe 31502

A breathing tube change in the windpipe, or trachea, is a procedure to replace a tube that helps you breathe. It's done when the tube is blocked, damaged, or needs cleaning. It involves carefully removing the old tube and inserting a new one.

25 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140052

LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140059

Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County

Emergency services

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140077

Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County

Emergency services

Vista Medical Center East

Acute Care Hospitals · Waukegan, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140084

Location1324 North Sheridan RoadWaukegan, IL 60085 · Lake County

Emergency services Birthing friendly

Washington County Memorial Hospital

Critical Access Hospitals · Potosi, MO

OwnershipGovernment - Local

CMS Certification Number261308

Location300 Health WayPotosi, MO 63664 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

14 suppliers139 claims139 services$33.27 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers36 claims75 services$1.13 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers14 claims14 services$9.43 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

13 suppliers148 claims148 services$81.70 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

13 suppliers177 claims395 services$31.34 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

14 suppliers94 claims461 services$18.09 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

12 suppliers125 claims520 services$13.27 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

18 suppliers183 claims183 services$50.46 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

18 suppliers211 claims211 services$16.29 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

11 suppliers193 claims193 services$12.61 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

19 suppliers422 claims1,843 services$2.00 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers20 claims20 services$5.66 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

15 suppliers141 claims141 services$11.67 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

7 suppliers174 claims179 services$14.95 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$32.08 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers118 claims118 services$913.09 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers17 claims17 services$74.46 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers185 claims193 services$11.38 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers53 claims55 services$2.55 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

10 suppliers260 claims272 services$30.94 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

9 suppliers425 claims431 services$67.15 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers171 claims182 services$31.28 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers53 claims3,180 services$6.56 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

8 suppliers48 claims7,729 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

14 suppliers124 claims13,310 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

8 suppliers78 claims4,530 services$0.80 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers12 claims12 services$28.83 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

15 suppliers191 claims191 services$24.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

SAAD Z KHAN M.D.

Psychiatry & Neurology (Psychiatry)

777 CRAIG RD STE 130
CREVE COEUR, MO 63141

St. Louis County (314) 872-7792

WEST COUNTY PHYSICIANS, LLC

Psychiatry & Neurology (Psychiatry)

777 CRAIG RD STE 130
CREVE COEUR, MO 63141

St. Louis County (314) 872-7792

SUNNA KHAN MD

Psychiatry & Neurology (Psychiatry)

777 CRAIG RD STE 130
CREVE COEUR, MO 63141

St. Louis County (314) 872-7792

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 Nadeem Ahmed's NPI number?

The NPI number for Nadeem Ahmed is 1376546804. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Where is Nadeem Ahmed located?

Nadeem Ahmed practices at 777 Craig Rd Ste 130, Saint Louis, MO 63141. The listed phone number is (314) 473-6183.

What is Nadeem Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nadeem Ahmed enrolled in Medicare?

Yes. Nadeem 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 Nadeem Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadeem Ahmed reassigns Medicare benefits to 11 organizations: Midwest Pulmonary And Critical Care Consultants Inc (Saint Louis, MO), Physician Specialists Of St Lukes LLC (Chesterfield, MO), Impact Physician Group, Missouri, LLC (Bridgeton, MO), Southern Illinois Healthcare Foundation, Inc. (Madison, IL), Touchette Regional Hospital Inc (Cahokia Heights, IL) and 6 more organizations, 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 Nadeem Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nadeem Ahmed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Nadeem 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 Nadeem Ahmed affiliated with any hospitals?

According to CMS data, Nadeem Ahmed is affiliated with Osf Saint Anthony's Health Center, Jersey Community Hospital, Touchette Regional Hospital Inc, Vista Medical Center East and Washington County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nadeem Ahmed was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.