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DR. AHMED MOHSIN IBN-MAHFOUDH MD
NPI 1457320970
Hospitalist in Summit, WI

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2023, Dec 3, 2021, Dec 16, 2020 (3 updates tracked since 2020).

About Dr. Ahmed Mohsin Ibn-mahfoudh Md NPPES

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

DR. AHMED MOHSIN IBN-MAHFOUDH MD (NPI 1457320970) is an individual hospitalist provider in Summit, Wisconsin, licensed in Wisconsin (69542) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1457320970
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. AHMED MOHSIN IBN-MAHFOUDHCredential: MD
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Phone(262) 434-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 16, 2006
Last NPPES UpdateJune 19, 20233 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1457320970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 69542
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 69542 (WI), 200100893 (NC)
36500 AURORA DR, Summit, WI 53066
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Other Identifiers 1

Medicaid100079429WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, CareSource (Common Ground Healthcare).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

Dr. Ahmed Mohsin Ibn-mahfoudh 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 ID8820019946
PECOS Enrollment IDI20180810000540
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 5

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.

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.
210 services204 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.
111 services57 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.
74 services59 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services54 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
79%38 patients4/55-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 20

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

BIJAN NEZAMI
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
KEVIN L EGGLESTON M.D.
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-4711
KODY LEWIS PA C
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
REBECCA M STRIET M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Waukesha County (262) 434-5000
REBECCA SUSA DPT, ATC-L
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-2600
VIJAY JOHNSON M.D
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
MRS. KELLY S CAMPBELL ANP-BC
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
DR. BRETT MCLACHLAN M.D.
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000

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 Ahmed Ibn-mahfoudh's NPI number?

The NPI number for Ahmed Ibn-mahfoudh is 1457320970. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Ahmed Ibn-mahfoudh located?

Ahmed Ibn-mahfoudh practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Ahmed Ibn-mahfoudh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ahmed Ibn-mahfoudh enrolled in Medicare?

Yes. Ahmed Ibn-mahfoudh 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 Ahmed Ibn-mahfoudh accept?

Health plans from AvMed and CareSource (Common Ground Healthcare) list Ahmed Ibn-mahfoudh 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 Ahmed Ibn-mahfoudh affiliated with any hospitals?

According to CMS data, Ahmed Ibn-mahfoudh is affiliated with St. Agnes Hospital Hospice, Aurora St Lukes Medical Center, Aurora Medical Center Kenosha and Ripon Medical Center.

When was this NPI record last updated?

The NPPES record for Ahmed Ibn-mahfoudh was last updated on June 19, 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.