SABEEN AHMED M.D.
NPI 1619362225
Family Medicine in Edison, NJ

Q: What is Sabeen Ahmed's NPI number?

The NPI number for Sabeen Ahmed is 1619362225. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Q: What is Sabeen Ahmed's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sabeen Ahmed was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment

77.7/100

CMS Quality Rating

1925 STATE ROUTE 27, EDISON, NJ 08817(732) 846-7000(732) 846-7001 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Oct 6, 2018 (2 updates tracked since 2018).

On this page

About Sabeen Ahmed M.d. NPPES

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

SABEEN AHMED M.D. (NPI 1619362225) is an individual family medicine provider in Edison, New Jersey, licensed in New Jersey (25MA10269300) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619362225

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSABEEN AHMEDCredential: M.D.

Location Address1925 STATE ROUTE 27Edison, NJ 08817-3250

Mailing Address51 Veronica AveSomerset, NJ 08873-3448 · (732) 846-7000 · Fax (732) 846-7001

Phone(732) 846-7000

Fax(732) 846-7001

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 31, 2015

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1619362225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA10269300

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10269300 (NJ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1925 STATE ROUTE 27, Edison, NJ 08817

Open in Google Maps ↗

Secondary Practice Locations 2

Location 151 Veronica AveSomerset, NJ 08873-3448 · Phone (732) 846-7000 · Fax (732) 846-7001

Location 2283 Applegarth RdMonroe Twp, NJ 08831-3737 · Phone (732) 846-7000 · Fax (732) 846-7001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Sabeen 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 ID9739455932

PECOS Enrollment IDI20190501002209

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 Reassignments

Medicare enrollment records show Sabeen Ahmed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heart & Vascular Center Of New Brunswick LLC

6.0 mi

Cardiovascular Disease

51 VERONICA AVE
Somerset, NJ 08873

Reassigned Medicare billing, New Jersey enrollment
12 clinicians in this Medicare group

NPI 1952424731 (732) 846-7000

Hunterdon Medical Center

24 mi

Hospitalist

2100 WESCOTT DR
Flemington, NJ 08822

Reassigned Medicare billing, New Jersey enrollment
65 clinicians in this Medicare group

NPI 1023395316 (908) 237-5486

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 16

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.

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.

511 services196 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

194 services125 patients

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.

104 services68 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

67 services67 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

66 services11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

65 services65 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

61 services61 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

40 services12 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.

40 services31 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

40 services12 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

33 services33 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

32 services27 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

31 services31 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310005

Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County

Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310070

Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08817 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

77.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.3

Promoting Interoperability

100

Improvement Activities

Cost

48.38

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$61.31 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$30.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HINAL PATEL NP-C

Nurse Practitioner (Family)

1925 STATE ROUTE 27
EDISON, NJ 08817

Middlesex County (732) 846-7000

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 Sabeen Ahmed's NPI number?

The NPI number for Sabeen Ahmed is 1619362225. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Sabeen Ahmed located?

Sabeen Ahmed practices at 1925 State Route 27, Edison, NJ 08817. The listed phone number is (732) 846-7000.

What is Sabeen Ahmed's specialty?

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

Is Sabeen Ahmed enrolled in Medicare?

Yes. Sabeen 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 organizations bill Medicare for Sabeen Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sabeen Ahmed reassigns Medicare benefits to 2 organizations: Heart & Vascular Center Of New Brunswick LLC (Somerset, NJ) and Hunterdon Medical Center (Flemington, 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 Sabeen Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sabeen Ahmed accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sabeen 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 Sabeen Ahmed affiliated with any hospitals?

According to CMS data, Sabeen Ahmed is affiliated with Hunterdon Medical Center, Saint Peter's University Hospital and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Sabeen Ahmed was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.