ISMAT AHMAD MD
NPI 1568807980
Emergency Medicine in Lehighton, PA

Active since April 30, 2013PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
500 ST LUKES DR, LEHIGHTON, PA 18235(484) 526-4500 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2023, Aug 30, 2016 (2 updates tracked since 2016).

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

NPI1568807980
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameISMAT AHMADCredential: MD
Location Address500 ST LUKES DRLehighton, PA 18235-5000
Mailing Address755 Memorial Pkwy, Suite 300Phillipsburg, NJ 08865-2748 · (908) 454-6303 · Fax (908) 454-2289
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 30, 2013
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
NPI 1568807980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · MD459436
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD459436 (PA)
500 ST LUKES DR, Lehighton, PA 18235

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID5496041725
PECOS Enrollment IDI20170731002678, I20260428002278
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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
208 services197 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
203 services189 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services49 patients

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, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Acute Care)
500 ST LUKES DR
LEHIGHTON, PA 18235
Physical Therapist
500 ST LUKES DR
LEHIGHTON, PA 18235
Dietitian, Registered
500 ST LUKES DR
LEHIGHTON, PA 18235
Physician Assistant
500 ST LUKES DR
LEHIGHTON, PA 18235
Pharmacist
500 ST LUKES DR
LEHIGHTON, PA 18235
Physician Assistant
500 ST LUKES DR
LEHIGHTON, PA 18235
Internal Medicine
500 ST LUKES DR
LEHIGHTON, PA 18235
Internal Medicine
500 ST LUKES DR
LEHIGHTON, PA 18235

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.

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 with the weekly NPPES data releases published by CMS.