DR. RIZWAN AHMED M.D.
NPI 1467728014
Surgery in Durango, CO
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
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Rizwan Ahmed reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Abilene, TX 79601
- Reassigned Medicare billing, Texas enrollment
- 420 clinicians in this Medicare group
Denton, TX 76210
- Reassigned Medicare billing, Texas enrollment
- 74 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 386 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 756 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Denton
Acute Care Hospitals · Denton, TXMedical City Plano
Acute Care Hospitals · Plano, TXTexas Health Presbyterian Hospital Plano
Acute Care Hospitals · Plano, TXSentara Rmh Medical Center
Acute Care Hospitals · Harrisonburg, VAPhysician 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.
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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Rizwan Ahmed's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rizwan Ahmed reassigns Medicare benefits to 4 organizations: Hendrick Provider Network (Abilene, TX), Surgery Associates Of Ntx, PLLC (Denton, TX), Valley Physician Enterprise, Inc. (Winchester, VA) and Winchester Medical Center (Winchester, VA). 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 Rizwan Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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, Texas Health Presbyterian Hospital Plano and Sentara Rmh Medical Center.
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.
# Dr. Rizwan Ahmed, M.D. · NPI 1467728014
Surgery physician in Durango, Colorado. Individual provider, active in the CMS NPPES registry since March 28, 2012.
## Identity
- **NPI:** 1467728014 (Entity type: Individual)
- **Enumerated:** March 28, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** DR.0069126 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 MERCADO ST STE 220, Durango, CO 81301-7310
- **Phone:** (970) 764-3450 · **Fax:** (970) 382-6607
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hendrick Provider Network (NPI 1396961322, Abilene, TX); Surgery Associates Of Ntx, PLLC (NPI 1134522691, Denton, TX); Valley Physician Enterprise, Inc. (NPI 1366944670, Winchester, VA); Winchester Medical Center (NPI 1467218909, Winchester, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** August 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467728014) · Data from the CMS NPPES public registry.