AHMAD BILAL MD
NPI 1609030345
Internal Medicine - Nephrology in Oklahoma City, OK
Active since July 11, 2008PECOS EnrolledAccepts Medicare Assignment
3366 NW EXPRESSWAY #730, BLDG D, OKLAHOMA CITY, OK 73112(405) 951-4944(405) 951-4955 Get Directions Write a Review
About Ahmad Bilal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AHMAD BILAL MD (NPI 1609030345) is an individual nephrology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (26355) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of Other (2004).
NPPES Registry Identity
NPI1609030345
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameAHMAD BILALCredential: MD
Location Address3366 NW EXPRESSWAY #730, BLDG DOklahoma City, OK 73112
Mailing Address3366 Nw Expressway #730, Bldg DOklahoma City, OK 73112 · (405) 951-4944 · Fax (405) 951-4955
Phone(405) 951-4944
Fax(405) 951-4955
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 11, 2008
Last NPPES UpdateJune 28, 20183 updates tracked since enumeration
✔ NPI 1609030345 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OK · 26355
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3366 NW EXPRESSWAY #730, BLDG D, Oklahoma City, OK 73112
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›
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
Ahmad Bilal 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 ID3375767734
PECOS Enrollment IDI20140922001249
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 11
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.
1,671 services274 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.
524 services176 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.
456 services217 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.
315 services273 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
179 services66 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
153 services19 patients
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson County Memorial Hospital Authority
Acute Care Hospitals · Altus, OKOwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly
Integris Baptist Medical Center, Inc
Acute Care Hospitals · Oklahoma City, OKOwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly
Integris Southwest Medical Center
Acute Care Hospitals · Oklahoma City, OKOwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly
Integris Canadian Valley Hospital
Acute Care Hospitals · Yukon, OKOwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly
Integris Health Edmond Hospital
Acute Care Hospitals · Edmond, OKOwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
31%54 patients2/55-star benchmark: 92%
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
5%101 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
36%132 patients2/55-star benchmark: 85%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
16%25 patients
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
9%81 patients1/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
7%81 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%81 patients5/55-star benchmark: 99%
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.
97%379 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.
81%308 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
37%171 patients2/55-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%227 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.
100%270 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
37%173 patients2/55-star benchmark: 90%
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…
38%263 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
41%158 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
17%216 patients1/55-star benchmark: 96%
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 tobacco: 80% · 50 patients
94%50 patients
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…
100%270 patients5/55-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…
19%270 patients2/55-star benchmark: 59%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
82%179 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 173 patients
0%173 patients5/55-star benchmark: 100%
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.
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 Ahmad Bilal's NPI number?
The NPI number for Ahmad Bilal is 1609030345. It was assigned to this individual provider in the NPPES registry on July 11, 2008.
Where is Ahmad Bilal located?
Ahmad Bilal practices at 3366 NW Expressway #730, Bldg D, Oklahoma City, OK 73112. The listed phone number is (405) 951-4944.
What is Ahmad Bilal's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Ahmad Bilal enrolled in Medicare?
Yes. Ahmad Bilal 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.
What insurance does Ahmad Bilal accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Ahmad Bilal 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 Ahmad Bilal affiliated with any hospitals?
According to CMS data, Ahmad Bilal is affiliated with Jackson County Memorial Hospital Authority, Integris Baptist Medical Center, Inc, Integris Southwest Medical Center, Integris Canadian Valley Hospital and Integris Health Edmond Hospital.
When was this NPI record last updated?
The NPPES record for Ahmad Bilal was last updated on June 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ahmad Bilal, MD · NPI 1609030345
Nephrology physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since July 11, 2008.
## Identity
- **NPI:** 1609030345 (Entity type: Individual)
- **Enumerated:** July 11, 2008
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 26355 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3366 NW EXPRESSWAY #730, BLDG D, Oklahoma City, OK 73112
- **Phone:** (405) 951-4944 · **Fax:** (405) 951-4955
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1609030345) · Data from the CMS NPPES public registry.