ISMAT AHMAD MD
NPI 1568807980
Emergency Medicine in Lehighton, PA
About Ismat Ahmad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISMAT AHMAD MD (NPI 1568807980) is an individual emergency medicine provider in Lehighton, Pennsylvania, licensed in Pennsylvania (MD459436) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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
Ismat 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ismat Ahmad reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lehighton, PA 18235
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: St Lukes Physician Group Inc
- 2,851 clinicians in this Medicare group
Lehighton, PA 18235
- Reassigned Medicare billing, Pennsylvania enrollment
- 145 clinicians in this Medicare group
Phillipsburg, NJ 08865
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: St Lukes Warren Physician Group PC
- 153 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 3
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Warren Hospital
Acute Care Hospitals · Phillipsburg, NJSt Luke's Hospital - Carbon Campus
Acute Care Hospitals · Lehighton, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18235 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 10
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 Ismat Ahmad's NPI number?
The NPI number for Ismat Ahmad is 1568807980. It was assigned to this individual provider in the NPPES registry on April 30, 2013.
Where is Ismat Ahmad located?
Ismat Ahmad practices at 500 St Lukes Dr, Lehighton, PA 18235. The listed phone number is (484) 526-4500.
What is Ismat Ahmad's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Ismat Ahmad enrolled in Medicare?
Yes. Ismat 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 Ismat Ahmad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ismat Ahmad reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group Inc (Lehighton, PA), The Carbon Schuylkill Community Hospital, Inc. (Lehighton, PA) and St. Luke's Warren Physician Group, PC (Phillipsburg, NJ). 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 Ismat Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ismat Ahmad affiliated with any hospitals?
According to CMS data, Ismat Ahmad is affiliated with St Luke's Warren Hospital and St Luke's Hospital - Carbon Campus.
When was this NPI record last updated?
The NPPES record for Ismat Ahmad was last updated on November 3, 2023. 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.
# Ismat Ahmad, MD · NPI 1568807980
Emergency Medicine physician in Lehighton, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 30, 2013.
## Identity
- **NPI:** 1568807980 (Entity type: Individual)
- **Enumerated:** April 30, 2013
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD459436 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 ST LUKES DR, Lehighton, PA 18235-5000
- **Phone:** (484) 526-4500
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): St. Luke's Physician Group Inc (NPI 1194196402, Lehighton, PA); The Carbon Schuylkill Community Hospital, Inc. (NPI 1386185452, Lehighton, PA); St. Luke's Warren Physician Group, PC (NPI 1578041174, Phillipsburg, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1568807980) · Data from the CMS NPPES public registry.