DR. ANUM AHMED M.D
NPI 1609296441
Family Medicine in San Ramon, CA

Active since April 20, 2014PECOS EnrolledAccepts Medicare Assignment
12677 ALCOSTA BLVD STE 240, SAN RAMON, CA 94583(925) 838-6511 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, May 15, 2020, Feb 19, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Anum Ahmed M.d NPPES

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

DR. ANUM AHMED M.D (NPI 1609296441) is an individual family medicine provider in San Ramon, California, licensed in California (C191595) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609296441
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANUM AHMEDCredential: M.D
Location Address12677 ALCOSTA BLVD STE 240San Ramon, CA 94583-4413
Mailing Address1450 Treat Blvd Ste 300Walnut Creek, CA 94597-2168 · (925) 952-2828
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 20, 2014
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1609296441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · C191595
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.
12677 ALCOSTA BLVD STE 240, San Ramon, CA 94583

Other Identifiers 2

OtherBW2G3FL · Blue Cross Blue Shield
Medicaid021637000FL

Accepted 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

Dr. Anum Ahmed M.d 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 ID5597048926
PECOS Enrollment IDI20170929000139
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 Anum Ahmed reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1450 TREAT BLVD, SUITE 300
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 650 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94583 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%66 patients5/55-star benchmark: 100%
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…
54%123 patients3/55-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.

Other Providers at the Same Location NPPES

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

Family Medicine
12677 ALCOSTA BLVD STE 240
SAN RAMON, CA 94583

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 Anum Ahmed's NPI number?

The NPI number for Anum Ahmed is 1609296441. It was assigned to this individual provider in the NPPES registry on April 20, 2014.

Where is Anum Ahmed located?

Anum Ahmed practices at 12677 Alcosta Blvd Ste 240, San Ramon, CA 94583. The listed phone number is (925) 838-6511.

What is Anum Ahmed's specialty?

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

Is Anum Ahmed enrolled in Medicare?

Yes. Anum 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 Anum Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anum Ahmed reassigns Medicare benefits to John Muir Physician Network (Walnut Creek, CA). 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 Anum Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anum Ahmed accept?

Health plans from Oscar Health Maintenance Organization of Florida list Anum 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.

When was this NPI record last updated?

The NPPES record for Anum Ahmed was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.