HODA AHMADI M.D.
NPI 1447459912
Ophthalmology in Elkhorn, WI

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
1311 S LINCOLN ST, ELKHORN, WI 53121(262) 723-4600(262) 723-4710 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2023, Feb 7, 2019, Dec 27, 2018 and 2 more (5 updates tracked since 2017).

About Hoda Ahmadi M.d. NPPES

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

HODA AHMADI M.D. (NPI 1447459912) is an individual ophthalmology provider in Elkhorn, Wisconsin, licensed in Wisconsin (56317) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1447459912
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameHODA AHMADICredential: M.D.
Location Address1311 S LINCOLN STElkhorn, WI 53121-4375
Mailing Address1311 S Lincoln StElkhorn, WI 53121-4375 · (262) 723-4600 · Fax (262) 723-4710
Fax(262) 723-4710
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2007
Enumeration DateJuly 16, 2007
Last NPPES UpdateFebruary 28, 20235 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
✔ NPI 1447459912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WI · 56317
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1311 S LINCOLN ST, Elkhorn, WI 53121

Secondary Practice Location 1

Location 1675 W State StBurlington, WI 53105-1739 · Phone (262) 763-7772

Other Identifiers 1

Medicaid1447459912WI

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

Hoda Ahmadi 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 ID446410484
PECOS Enrollment IDI20120329000840
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 Hoda Ahmadi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
1311 S LINCOLN ST
Elkhorn, WI 53121
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Eye Physicians & Surgeons Sc
  • 6 clinicians in this Medicare group
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 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 19

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.
357 services278 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.
200 services150 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
170 services108 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
155 services142 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.
125 services125 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
115 services23 patients

Hospital Affiliations CMS Care Compare

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121
Ophthalmology
1311 S LINCOLN ST
ELKHORN, WI 53121

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 Hoda Ahmadi's NPI number?

The NPI number for Hoda Ahmadi is 1447459912. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Hoda Ahmadi located?

Hoda Ahmadi practices at 1311 S Lincoln St, Elkhorn, WI 53121. The listed phone number is (262) 723-4600.

What is Hoda Ahmadi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hoda Ahmadi enrolled in Medicare?

Yes. Hoda Ahmadi 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 Hoda Ahmadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hoda Ahmadi reassigns Medicare benefits to 3 organizations: Eye Physicians And Surgeons Sc (Elkhorn, WI), The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, 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 Hoda Ahmadi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hoda Ahmadi accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, CareSource (Common Ground Healthcare) and HealthPartners and 2 other insurers list Hoda Ahmadi 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 Hoda Ahmadi affiliated with any hospitals?

According to CMS data, Hoda Ahmadi is affiliated with Aurora Memorial Hospital Burlington.

When was this NPI record last updated?

The NPPES record for Hoda Ahmadi was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.