DR. RIZWAN AHMED M.D.
NPI 1467728014
Surgery in Durango, CO

Q: What is Rizwan Ahmed's NPI number?

The NPI number for Rizwan Ahmed is 1467728014. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Rizwan Ahmed's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Rizwan Ahmed was last updated on August 8, 2024. 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.

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1 MERCADO ST STE 220, DURANGO, CO 81301(970) 764-3450(970) 382-6607 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2024, Aug 1, 2022, Apr 19, 2018 (3 updates tracked since 2018).

On this page

About Dr. Rizwan Ahmed M.d. NPPES

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

DR. RIZWAN AHMED M.D. (NPI 1467728014) is an individual surgery provider in Durango, Colorado, licensed in Colorado (DR.0069126) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467728014

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. RIZWAN AHMEDCredential: M.D.

Location Address1 MERCADO ST STE 220Durango, CO 81301-7310

Mailing AddressPo Box 800022Kansas City, MO 64180-0022 · (800) 953-0104 · Fax (303) 765-6670

Phone(970) 764-3450

Fax(970) 382-6607

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 28, 2012

Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration

NPPES CertifiedAugust 8, 2024

✔ NPI 1467728014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in CO · DR.0069126✔ Licensed in TX · 648430

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 MERCADO ST STE 220, Durango, CO 81301

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (410) 955-5080

Location 212605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Rizwan Ahmed 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 ID8123276417

PECOS Enrollment IDI20240215004215

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.

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.

28 services15 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Denton

Acute Care Hospitals · Denton, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450634

Location3535 South I35 EastDenton, TX 76210 · Denton County

Emergency services

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490077

Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81301 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

CS CARDIOLOGY NEWCO LLC

Surgery (Vascular Surgery)

1 MERCADO ST STE 220
DURANGO, CO 81301

La Plata County (970) 764-3450

CATHOLIC HEALTH INITIATIVES COLORADO

Surgery

1 MERCADO ST STE 220
DURANGO, CO 81301

La Plata County (970) 764-3450

DR. BRIGID O'HOLLERAN M.D.

Surgery

1 MERCADO ST STE 220
DURANGO, CO 81301

La Plata County (970) 764-3450

HELEN YOUNG KAY D.O.

Surgery

1 MERCADO ST STE 220
DURANGO, CO 81301

La Plata County (970) 764-3450

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 Rizwan Ahmed's NPI number?

The NPI number for Rizwan Ahmed is 1467728014. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Rizwan Ahmed located?

Rizwan Ahmed practices at 1 Mercado St Ste 220, Durango, CO 81301. The listed phone number is (970) 764-3450.

What is Rizwan Ahmed's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rizwan Ahmed enrolled in Medicare?

Yes. Rizwan 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 Rizwan Ahmed accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Rizwan 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.

Is Rizwan Ahmed affiliated with any hospitals?

According to CMS data, Rizwan Ahmed is affiliated with Medical City Denton, Medical City Plano and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Rizwan Ahmed was last updated on August 8, 2024. 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.