MIAN BILAL ALAM MD
NPI 1417188806
Internal Medicine in Springfield, OH

Active since August 03, 2009PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
100 W MCCREIGHT AVE STE 150, SPRINGFIELD, OH 45504(937) 323-1404(937) 323-1407 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mian Bilal Alam Md NPPES

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

MIAN BILAL ALAM MD (NPI 1417188806) is an individual internal medicine provider in Springfield, Ohio, licensed in Pennsylvania (MT194541) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2020).

NPPES Registry Identity

NPI1417188806
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMIAN BILAL ALAMCredential: MD
Location Address100 W MCCREIGHT AVE STE 150Springfield, OH 45504-1890
Mailing Address100 W Mccreight Ave Ste 150Springfield, OH 45504-1890 · (937) 323-1404 · Fax (937) 323-1407
Fax(937) 323-1407
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2020
Enumeration DateAugust 3, 2009
Last NPPES UpdateJuly 14, 2020
NPPES CertifiedJuly 14, 2020
NPI 1417188806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MT194541
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.
100 W MCCREIGHT AVE STE 150, Springfield, OH 45504

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

Mian Bilal Alam 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 ID1153567615
PECOS Enrollment IDI20140314000578
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 31

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
876 services587 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.
321 services191 patients
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.
273 services131 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.
191 services174 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
186 services182 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
174 services143 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360355
Location100 West Main StreetSpringfield, OH 45502 · Clark County

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361312
Location904 Scioto StreetUrbana, OH 43078 · Champaign County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45504 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.92
Promoting Interoperability100
Improvement Activities40
Cost43.25

Reported Quality Measures

Breast Cancer Screening
57%270 patients3/55-star benchmark: 93%
Cervical Cancer Screening
25%231 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
15%26 patients
Closing the Referral Loop: Receipt of Specialist Report
4%207 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
49%691 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
86%698 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
13%208 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%208 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
82%2,551 patients4/55-star benchmark: 100%
e-Prescribing
98%773 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
70%526 patients3/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
95%41 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
92%1,211 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
45%803 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%1,035 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 710 patients
Patients screened: 94% · 710 patients
76%154 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%484 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%708 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 8% · 529 patients
Patients totalRate: 19% · 529 patients
17%529 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Family)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Nurse Practitioner (Acute Care)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Nurse Practitioner (Gerontology)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Nurse Practitioner (Family)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Physician Assistant
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Radiology (Diagnostic Radiology)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504
Internal Medicine (Cardiovascular Disease)
100 W MCCREIGHT AVE STE 150
SPRINGFIELD, OH 45504

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 Mian Alam's NPI number?

The NPI number for Mian Alam is 1417188806. It was assigned to this individual provider in the NPPES registry on August 3, 2009.

Where is Mian Alam located?

Mian Alam practices at 100 W Mccreight Ave Ste 150, Springfield, OH 45504. The listed phone number is (937) 323-1404.

What is Mian Alam's specialty?

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

Is Mian Alam enrolled in Medicare?

Yes. Mian Alam 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.

What insurance does Mian Alam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Mian Alam 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 Mian Alam affiliated with any hospitals?

According to CMS data, Mian Alam is affiliated with Riverside Methodist Hospital, Springfield Regional Medical Center, Mercy Health - West Hospital, Ohio Valley Surgical Hospital and Mercy Health - Urbana Hospital.

When was this NPI record last updated?

The NPPES record for Mian Alam was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.