DR. SAMIR ABED AHMAD M.D
NPI 1497710545
Internal Medicine in Mission Viejo, CA

Active since April 20, 2006PECOS Enrolled
27800 MEDICAL CENTER RD STE 109, MISSION VIEJO, CA 92691(949) 866-3600(949) 221-3537 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samir Abed Ahmad M.d NPPES

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

DR. SAMIR ABED AHMAD M.D (NPI 1497710545) is an individual internal medicine provider in Mission Viejo, California, licensed in California (A81614) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497710545
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMIR ABED AHMADCredential: M.D
Location Address27800 MEDICAL CENTER RD STE 109Mission Viejo, CA 92691-6410
Mailing Address27800 Medical Center Rd Ste 109Mission Viejo, CA 92691-6410 · (949) 866-3600 · Fax (949) 221-3537
Fax(949) 221-3537
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1497710545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A81614✔ Licensed in FL · ME146737
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License K9475 (TX)
27800 MEDICAL CENTER RD STE 109, Mission Viejo, CA 92691

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samir Abed Ahmad M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Samir Ahmad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
27800 MEDICAL CENTER RD STE 110
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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…
97%68 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 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
27800 MEDICAL CENTER RD STE 109
MISSION VIEJO, CA 92691
Physician Assistant
27800 MEDICAL CENTER RD STE 109
MISSION VIEJO, CA 92691
Physician Assistant
27800 MEDICAL CENTER RD STE 109
MISSION VIEJO, CA 92691
Physician Assistant
27800 MEDICAL CENTER RD STE 109
MISSION VIEJO, CA 92691

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 Samir Ahmad's NPI number?

The NPI number for Samir Ahmad is 1497710545. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Samir Ahmad located?

Samir Ahmad practices at 27800 Medical Center Rd Ste 109, Mission Viejo, CA 92691. The listed phone number is (949) 866-3600.

What is Samir Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samir Ahmad enrolled in Medicare?

Yes. Samir Ahmad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samir Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samir Ahmad reassigns Medicare benefits to 4 organizations: Celebrating Life Community Health Center (Mission Viejo, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA), Cogent Healthcare Of Texas, PA (Dallas, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). 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 Samir Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samir Ahmad accept?

Health plans from Blue Cross and Blue Shield of Texas list Samir Ahmad 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 Samir Ahmad was last updated on May 1, 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.