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DR. SYED AHMED ATHAR M.D.
NPI 1508038597
Internal Medicine - Interventional Cardiology in Loma Linda, CA

Active since March 31, 2008PECOS Enrolled
84.86/100
CMS Quality Rating
11201 BENTON ST, LOMA LINDA, CA 92357(909) 583-6097(909) 777-3273 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 11, 2020, Apr 17, 2019 (2 updates tracked since 2019).

About Dr. Syed Ahmed Athar M.d. NPPES

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

DR. SYED AHMED ATHAR M.D. (NPI 1508038597) is an individual interventional cardiology provider in Loma Linda, California, licensed in California (A108169) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508038597
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. SYED AHMED ATHARCredential: M.D.
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 583-6097 · Fax (909) 777-3273
Phone(909) 583-6097
Fax(909) 777-3273
Sole ProprietorNo
Enumeration DateMarch 31, 2008
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
✔ NPI 1508038597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in CA · A108169✔ Licensed in OR · MD192265✔ Licensed in AR · E-8144
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A108169 (CA), 01065071A (IN)
11201 BENTON ST, Loma Linda, CA 92357
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Other Names 1

Other Name (5)Ahmed Athar M.d.

Secondary Practice Locations 2

Location 12801 NW Mercy Dr Ste 300Roseburg, OR 97471-2348 · Phone (541) 677-1555 · Fax (541) 677-2113
Location 22205 W Main StRussellville, AR 72801-2759 · Phone (479) 968-4311 · Fax (479) 968-4399

Other Identifiers 1

Medicaid200244001AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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. Syed Ahmed Athar 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

2

Medicare enrollment records show Syed Athar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Mary's Physician Services LLC
1,371 mi
General Practice
101 SKYLINE DR
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: St Marys Physician Services LLC
  • 136 clinicians in this Medicare group
NPI 1124084991 (479) 968-2345
Porter Physician Services LLC
1,715 mi
Internal Medicine
3630 WILLOWCREEK RD
Portage, IN 46368
  • Reassigned Medicare billing, Indiana enrollment
  • 177 clinicians in this Medicare group
NPI 1457566309 (219) 759-5791

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 92357 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

84.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.19
Improvement Activities40

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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.
Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
JUNGMI LEE LCSW
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PETRU PAPACOSTEA
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY J DALLMEIER RRT
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY BEAVER LSW
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 674-2794
DR. KRYSTAL GREGG PSYD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
HOLLY CORNEJO FNP-C
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MS. RINA JOLEANNY CRUZ REGISTERED NURSE
Registered Nurse (Medical-Surgical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084

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 Syed Athar's NPI number?

The NPI number for Syed Athar is 1508038597. It was assigned to this individual provider in the NPPES registry on March 31, 2008. The provider is also known as Ahmed Athar M.D..

Where is Syed Athar located?

Syed Athar practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 583-6097.

What is Syed Athar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Syed Athar enrolled in Medicare?

Yes. Syed Athar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Syed Athar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Syed Athar reassigns Medicare benefits to 2 organizations: St Mary's Physician Services LLC (Russellville, AR) and Porter Physician Services LLC (Portage, IN). 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 Syed Athar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Syed Athar accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Syed Athar 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 Syed Athar was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.