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MUSHTAQ AHMAD MD
NPI 1508822446
Internal Medicine - Pulmonary Disease in Marion, OH

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
1021 HARDING MEMORIAL PKWY, MARION, OH 43302(740) 387-4037 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2021, Mar 17, 2021 (2 updates tracked since 2021).

About Mushtaq Ahmad Md NPPES

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

MUSHTAQ AHMAD MD (NPI 1508822446) is an individual pulmonary disease provider in Marion, Ohio, licensed in Ohio (35.088436) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508822446
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMUSHTAQ AHMADCredential: MD
Location Address1021 HARDING MEMORIAL PKWYMarion, OH 43302-6315
Mailing Address839 Christopher DrMarion, OH 43302-8210 · (740) 387-4037
Phone(740) 387-4037
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateApril 20, 2006
Last NPPES UpdateMarch 12, 20242 updates tracked since enumeration
NPPES CertifiedMarch 12, 2024
✔ NPI 1508822446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in OH · 35.088436✔ Licensed in OH · 88436
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1021 HARDING MEMORIAL PKWY, Marion, OH 43302
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Secondary Practice Locations 2

Location 1400 Matthew St Ste 305Marietta, OH 45750-1600 · Phone (740) 568-5662
Location 2210 N 7th St Ste 100Marietta, OH 45750-2244 · Phone (740) 568-5310 · Fax (740) 434-0619

Other Identifiers 1

MedicaidA7964NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Mushtaq Ahmad Md 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 ID1254302896
PECOS Enrollment IDI20210401001020
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 Mushtaq Ahmad reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Selby General Hospital
80 mi
Rural Health
751 STATE ROUTE 664 N UNIT A
Logan, OH 43138
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1124073465 (Ohio)
  • 105 clinicians in this Medicare group
NPI 1710840251 (740) 385-9646
Lake Hospital System, Inc.
103 mi
Vascular Surgery
20050 HARVARD AVE
Warrensville Heights, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1669609756 (440) 953-1898
Marietta Memorial Hospital
118 mi
General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
NPI 1215936927 (740) 374-1413
Arkansas Healthcare Services LLC
687 mi
Urology
1910 MALVERN AVE
Hot Springs, AR 71901
  • Reassigned Medicare billing, Arkansas enrollment
  • 69 clinicians in this Medicare group
NPI 1174582621 (501) 321-1000

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 8

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.
103 services42 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.
30 services29 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.
21 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
18 services11 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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…
2%460 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
4%324 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%980 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,284 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%176 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%520 patients5/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%533 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
13%426 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 513 patients
Patients tobacco: 43% · 56 patients
89%306 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%520 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%520 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%520 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers30 claims30 services$18.50 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers35 claims35 services$902.07 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers13 claims13 services$782.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers27 claims32 services$8.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers39 claims39 services$99.40 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers28 claims2,850 services$0.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mushtaq Ahmad's NPI number?

The NPI number for Mushtaq Ahmad is 1508822446. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mushtaq Ahmad located?

Mushtaq Ahmad practices at 1021 Harding Memorial Pkwy, Marion, OH 43302. The listed phone number is (740) 387-4037.

What is Mushtaq Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mushtaq Ahmad enrolled in Medicare?

Yes. Mushtaq Ahmad 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 Mushtaq Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mushtaq Ahmad reassigns Medicare benefits to 4 organizations: Selby General Hospital (Logan, OH), Lake Hospital System, Inc. (Warrensville Heights, OH), Marietta Memorial Hospital (Marietta, OH) and Arkansas Healthcare Services LLC (Hot Springs, AR). 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 Mushtaq Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mushtaq Ahmad accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Mushtaq 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.

Is Mushtaq Ahmad affiliated with any hospitals?

According to CMS data, Mushtaq Ahmad is affiliated with Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mushtaq Ahmad was last updated on March 12, 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.