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AHMAD ZARE M.D
NPI 1659734796
Internal Medicine - Endocrinology, Diabetes & Metabolism in Central Valley, PA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
5445 LANARK ROAD SUITE 300, CENTRAL VALLEY, PA 18043(484) 526-7300 Get Directions Write a Review

NPPES record last updated: May 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 3, 2026, Jun 24, 2020 (2 updates tracked since 2020).

About Ahmad Zare M.d NPPES

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

AHMAD ZARE M.D (NPI 1659734796) is an individual endocrinology, diabetes & metabolism provider in Central Valley, Pennsylvania, licensed in Pennsylvania (MD478684) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1659734796
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameAHMAD ZARECredential: M.D
Location Address5445 LANARK ROAD SUITE 300Central Valley, PA 18043
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-1000
Phone(484) 526-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 4, 2016
Last NPPES UpdateMay 3, 20262 updates tracked since enumeration
NPPES CertifiedMay 3, 2026
✔ NPI 1659734796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD478684
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 39020000X
5445 LANARK ROAD SUITE 300, Central Valley, PA 18043
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Secondary Practice Location 1

Location 18900 Van Wyck Expy, jamaica hospital medical centerJamaica, NY 11418-2832 · Phone (718) 206-7708

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Ahmad Zare 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 ID1658616958
PECOS Enrollment IDI20221114002559
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

3

Medicare enrollment records show Ahmad Zare reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Physician Group, Inc
8.7 mi
Family Medicine
1097 N CHURCH ST
Hazle Township, PA 18202
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1841936051 (484) 526-4000
Star Community Health, Inc
49 mi
General Practice
511 E 3RD ST STE 202
Bethlehem, PA 18015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 318 clinicians in this Medicare group
NPI 1033686159 (484) 526-4700
St. Luke's Warren Physician Group, PC
54 mi
Obstetrics & Gynecology
39 ROSEBERRY ST STE 2
Phillipsburg, NJ 08865
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Lukes Warren Physician Group PC
  • 153 clinicians in this Medicare group
NPI 1578041174 (908) 847-1037

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 8

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.
507 services263 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
177 services84 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.
124 services124 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
108 services86 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.
59 services48 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.
35 services17 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe 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 18043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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

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 Zare's NPI number?

The NPI number for Ahmad Zare is 1659734796. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Ahmad Zare located?

Ahmad Zare practices at 5445 Lanark Road Suite 300, Central Valley, PA 18043. The listed phone number is (484) 526-7300.

What is Ahmad Zare's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ahmad Zare enrolled in Medicare?

Yes. Ahmad Zare 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 Ahmad Zare's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Zare reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc (Hazle Township, PA), Star Community Health, Inc (Bethlehem, 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 Ahmad Zare's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmad Zare accept?

Health plans from Oscar Health list Ahmad Zare 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 Zare affiliated with any hospitals?

According to CMS data, Ahmad Zare is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Pocono, St Luke's Hospital - Monroe Campus and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

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