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DR. OMAR AHMED M.D.
NPI 1689012924
Otolaryngology - Otology & Neurotology in Robbinsville, NJ

Active since June 10, 2013PECOS EnrolledAccepts Medicare Assignment
79.93/100
CMS Quality Rating
1 UNION ST STE 203, ROBBINSVILLE, NJ 08691(609) 436-5740(609) 436-5741 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2021, Nov 2, 2020, Jan 16, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Omar Ahmed M.d. NPPES

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

DR. OMAR AHMED M.D. (NPI 1689012924) is an individual otology & neurotology provider in Robbinsville, New Jersey, licensed in New Jersey (25MA10500500) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689012924
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameDR. OMAR AHMEDCredential: M.D.
Location Address1 UNION ST STE 203Robbinsville, NJ 08691-4219
Mailing Address1 Union St Ste 203Robbinsville, NJ 08691-4219 · (609) 436-5740 · Fax (609) 436-5741
Phone(609) 436-5740
Fax(609) 436-5741
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2013
Enumeration DateJune 10, 2013
Last NPPES UpdateJanuary 8, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1689012924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License✔ Licensed in NJ · 25MA10500500
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 25MA10500500 (NJ), MD464322 (PA)
1 UNION ST STE 203, Robbinsville, NJ 08691
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1550 1st AveNew York, NY 10016-6402 · Phone (212) 263-7300
Location 2777 Township Line Rd Fl 1Yardley, PA 19067-5552 · Phone (267) 399-4004 · Fax (267) 399-4005

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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. Omar 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 ID2567719784
PECOS Enrollment IDI20180719000993, I20190618000430
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

4

Medicare enrollment records show Omar Ahmed reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Health Care Associates Of New Jersey, PC
16 mi
Obstetrics & Gynecology
1203 LANGHORNE NEWTOWN RD STE 226
Langhorne, PA 19047
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 793 clinicians in this Medicare group
NPI 1538728357 (610) 902-1730
Rutgers Health-Rwj Neurosurgery Faculty
21 mi
Pediatric Surgery
1 ROBERT WOOD JOHNSON PL STE 2100
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group
NPI 1659406957 (732) 235-7044
Riverfront Intensivists
52 mi
Critical Care Medicine
7600 RIVER RD
North Bergen, NJ 07047
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
NPI 1639618424 (201) 854-5000
University Of Pittsburgh Physicians
274 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222

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 9

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.
314 services204 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
227 services175 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
152 services120 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.
140 services118 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.
115 services115 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

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.

79.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.51
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

MEGAN MARIE SEERY CRNP
Nurse Practitioner (Family)
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740
DR. KATHRYN PAYNE EDWARDS M.D.
Allergy & Immunology
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740
AUBREY SUSAN MCCULLOUGH D.O.
Otolaryngology
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740
DR. KYLE THOMAS SMITH AUD
Audiologist
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740
ROBERT MIGNONE D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740
ALYSSA MARIE MOLFESE CCC-SLP
Speech-Language Pathologist
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740
JILLIAN KRISTINE MACMILLAN AUDIOLOGIST
Audiologist
1 UNION ST STE 203
ROBBINSVILLE, NJ 08691
Mercer County (609) 436-5740

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 Omar Ahmed's NPI number?

The NPI number for Omar Ahmed is 1689012924. It was assigned to this individual provider in the NPPES registry on June 10, 2013.

Where is Omar Ahmed located?

Omar Ahmed practices at 1 Union St Ste 203, Robbinsville, NJ 08691. The listed phone number is (609) 436-5740.

What is Omar Ahmed's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Omar Ahmed enrolled in Medicare?

Yes. Omar 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 Omar Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Ahmed reassigns Medicare benefits to 4 organizations: Clinical Health Care Associates Of New Jersey, PC (Langhorne, PA), Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, NJ), Riverfront Intensivists (North Bergen, NJ) and University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Omar Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Ahmed accept?

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

According to CMS data, Omar Ahmed is affiliated with University Medical Center Of Princeton At Plainsboro, Capital Health Medical Center - Hopewell, Robert Wood Johnson University Hospital At Hamilton and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Omar Ahmed was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.