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MADEEHA AHMED MD
NPI 1558065458
Family Medicine in Madisonville, KY

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment
200 CLINIC DR, MADISONVILLE, KY 42431(270) 825-6680(270) 825-7266 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 18, 2025, Feb 18, 2025, Mar 27, 2023 (3 updates tracked since 2023).

About Madeeha Ahmed Md NPPES

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

MADEEHA AHMED MD (NPI 1558065458) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (R6692) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558065458
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADEEHA AHMEDCredential: MD
Location Address200 CLINIC DRMadisonville, KY 42431-1661
Mailing Address200 Clinic DrMadisonville, KY 42431-1661 · (270) 825-6680 · Fax (270) 825-7266
Phone(270) 825-6680
Fax(270) 825-7266
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2023
Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1558065458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · R6692
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 CLINIC DR, Madisonville, KY 42431
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Madeeha Ahmed 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 ID5193240240
PECOS Enrollment IDI20250422000367
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 Reassignment

Medicare enrollment records show Madeeha Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Deaconess Medical Group Inc
Same address
Rural Health
200 CLINIC DR FL 5
Madisonville, KY 42431
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
NPI 1306420575 (270) 825-7214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

HEATHER RAE PENDLEY
Case Manager/Care Coordinator
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
KRISTIN WICKHAM M.D.
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200
OHIO VALLEY NEUROLOGY LLC
Psychiatry & Neurology (Neurology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6601
DR. TIMI A AKINS MD
Internal Medicine (Nephrology)
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5220
JAMES CRISS YELTON M.D.
Orthopaedic Surgery
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-6655
TEHMINA KHAN MD
Family Medicine
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-6690
RACHEL ELIZABETH VAUGHAN
Counselor
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 821-8874
BRENDA L. BRUCE KCSA
200 CLINIC DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-7200

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 Madeeha Ahmed's NPI number?

The NPI number for Madeeha Ahmed is 1558065458. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Madeeha Ahmed located?

Madeeha Ahmed practices at 200 Clinic Dr, Madisonville, KY 42431. The listed phone number is (270) 825-6680.

What is Madeeha Ahmed's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madeeha Ahmed enrolled in Medicare?

Yes. Madeeha 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 organization bills Medicare for Madeeha Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeeha Ahmed reassigns Medicare benefits to Baptist Health Deaconess Medical Group Inc (Madisonville, KY). The 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 Madeeha Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madeeha Ahmed accept?

Health plans from Anthem Blue Cross and Blue Shield list Madeeha 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 Madeeha Ahmed affiliated with any hospitals?

According to CMS data, Madeeha Ahmed is affiliated with Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Madeeha Ahmed was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.