MRS. RIZWANA AHMED
NPI 1457809865
Nurse Practitioner - Family in Newark, DE

Active since September 14, 2016PECOS EnrolledAccepts Medicare Assignment
78.87/100
CMS Quality Rating
200 HYGEIA DR STE 1420, NEWARK, DE 19713(302) 623-3017(302) 266-9962 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2023, Sep 14, 2016 (2 updates tracked since 2016).

About Mrs. Rizwana Ahmed NPPES

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

MRS. RIZWANA AHMED (NPI 1457809865) is an individual family provider in Newark, Delaware, licensed in Delaware (LG-0000954) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1457809865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RIZWANA AHMED
Location Address200 HYGEIA DR STE 1420Newark, DE 19713-2049
Mailing Address200 Hygeia Dr Ste 1420Newark, DE 19713-2049 · (302) 623-3017 · Fax (302) 266-9962
Fax(302) 266-9962
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 14, 2016
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
NPI 1457809865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in DE · LG-0000954
Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0038860 (DE)
200 HYGEIA DR STE 1420, Newark, DE 19713

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

Mrs. Rizwana Ahmed 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 ID7810273968
PECOS Enrollment IDI20231109000618
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 2

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 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.
253 services248 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.
39 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

78.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.2
Promoting Interoperability88
Improvement Activities40
Cost57.04

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers21 claims49 services$4.51 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 20

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

Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Vascular Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
200 HYGEIA DR STE 1420
NEWARK, DE 19713

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 Rizwana Ahmed's NPI number?

The NPI number for Rizwana Ahmed is 1457809865. It was assigned to this individual provider in the NPPES registry on September 14, 2016.

Where is Rizwana Ahmed located?

Rizwana Ahmed practices at 200 Hygeia Dr Ste 1420, Newark, DE 19713. The listed phone number is (302) 623-3017.

What is Rizwana Ahmed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rizwana Ahmed enrolled in Medicare?

Yes. Rizwana Ahmed 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 Rizwana Ahmed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Rizwana Ahmed 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.

When was this NPI record last updated?

The NPPES record for Rizwana Ahmed was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.