ABUL SHAMIM AHSAN M.D.
NPI 1376711044
Hospitalist in Jefferson City, MO

Active since February 15, 2008PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
1125 MADISON ST, JEFFERSON CITY, MO 65101(573) 632-5000(573) 634-2033 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2023, Jan 31, 2017 (2 updates tracked since 2017).

About Abul Shamim Ahsan M.d. NPPES

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

ABUL SHAMIM AHSAN M.D. (NPI 1376711044) is an individual hospitalist provider in Jefferson City, Missouri, licensed in Missouri (2020037788) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Shawnee Mission, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1376711044
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameABUL SHAMIM AHSANCredential: M.D.
Location Address1125 MADISON STJefferson City, MO 65101-5227
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 634-2033
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 15, 2008
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
NPI 1376711044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MO · 2020037788
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2020037788 (MO)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2020037788 (MO)
1125 MADISON ST, Jefferson City, MO 65101

Accepted 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

Abul Shamim Ahsan 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 ID143305185
PECOS Enrollment IDI20210113000614, I20250904003237
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
248 services231 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.
69 services65 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.
39 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Shawnee Mission

Acute Care Hospitals · Shawnee Mission, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number170104
Location9100 W 74th StreetShawnee Mission, KS 66204 · Johnson 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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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.

Radiology (Diagnostic Radiology)
1125 MADISON ST
JEFFERSON CITY, MO 65101
Radiology (Diagnostic Radiology)
1125 MADISON ST
JEFFERSON CITY, MO 65101
Emergency Medicine
1125 MADISON ST
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101
Emergency Medicine
1125 MADISON ST
JEFFERSON CITY, MO 65101
Emergency Medicine
1125 MADISON ST
JEFFERSON CITY, MO 65101
Nurse Anesthetist, Certified Registered
1125 MADISON ST
JEFFERSON CITY, MO 65101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376711044, enumerated as an "individual" on February 15, 2008.

The provider is located at 1125 MADISON ST JEFFERSON CITY, MO 65101 and the phone number is (573) 632-5000.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Medica. Please consult your insurance carrier or call the provider to verify.

Abul Ahsan is affiliated with: ADVENTHEALTH SHAWNEE MISSION, CENTERPOINT MEDICAL CENTER, UNIVERSITY OF MISSOURI HEALTH CARE, GOLDEN VALLEY MEMORIAL HOSPITAL and CITIZENS MEMORIAL HOSPITAL.