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KHADIJAH B AHMAD MD
NPI 1386756534
Family Medicine in Wisc Rapids, WI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
220 24TH ST SOUTH, WISC RAPIDS, WI 54494(715) 424-8668 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Khadijah B Ahmad Md NPPES

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

KHADIJAH B AHMAD MD (NPI 1386756534) is an individual family medicine provider in Wisc Rapids, Wisconsin, licensed in Wisconsin (43721) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Riverview Hospital & Clinics Inc, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1386756534
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKHADIJAH B AHMADCredential: MD
Location Address220 24TH ST SOUTHWisc Rapids, WI 54494
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777
Phone(715) 424-8668
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386756534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 43721
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 24TH ST SOUTH, Wisc Rapids, WI 54494
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Other Identifiers 2

Medicaid34595200WI
Medicare UPINI20342

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.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

Khadijah 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 ID3375506785
PECOS Enrollment IDI20041108000060
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

2

Medicare enrollment records show Khadijah Ahmad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc
Same address
Clinic/Center
440 24TH ST S
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1568188589 (715) 751-6200
Marshfield Clinic Inc
27 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511

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 10

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.

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.
254 services179 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
124 services15 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.
75 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services53 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
43 services30 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
34 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54494 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers77 claims178 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers28 claims39 services$0.84 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
2 suppliers22 claims22 services$18.66 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$27.88 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
3 suppliers32 claims32 services$103.11 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers12 claims12 services$23.85 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 4

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

JILL M DILLON OD
Optometrist
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Wood County (715) 423-3910
JOSEPH J ARIAS MD
Family Medicine
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Wood County (715) 424-8668
BRUCE THOMAS DDS
Oral & Maxillofacial Surgery
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Wood County (715) 424-8777
ANN E RUESCH NP
Nurse Practitioner
220 24TH ST SOUTH
WISC RAPIDS, WI 54494
Wood County (715) 387-5345

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 Khadijah Ahmad's NPI number?

The NPI number for Khadijah Ahmad is 1386756534. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Khadijah Ahmad located?

Khadijah Ahmad practices at 220 24th St South, Wisc Rapids, WI 54494. The listed phone number is (715) 424-8668.

What is Khadijah Ahmad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Khadijah Ahmad enrolled in Medicare?

Yes. Khadijah 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 Khadijah Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadijah Ahmad reassigns Medicare benefits to 2 organizations: Mchs Hospitals Inc (Wisconsin Rapids, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Khadijah Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khadijah Ahmad accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Khadijah 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 Khadijah Ahmad affiliated with any hospitals?

According to CMS data, Khadijah Ahmad is affiliated with Aspirus Riverview Hospital & Clinics Inc and Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Khadijah Ahmad was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.