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DR. ADNAN AHMED M.D.
NPI 1750661880
Pediatrics in Edinburg, TX

Active since August 20, 2011PECOS EnrolledAccepts Medicare Assignment
5019 S MCCOLL RD, EDINBURG, TX 78539(956) 322-5765(956) 603-1240 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2024, Aug 15, 2024, Mar 22, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Adnan Ahmed M.d. NPPES

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

DR. ADNAN AHMED M.D. (NPI 1750661880) is an individual pediatrics provider in Edinburg, Texas, licensed in Texas (P8009) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1750661880
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ADNAN AHMEDCredential: M.D.
Location Address5019 S MCCOLL RDEdinburg, TX 78539-8080
Mailing Address5019 S Mccoll RdEdinburg, TX 78539-8080 · (956) 322-5765 · Fax (956) 603-1240
Phone(956) 322-5765
Fax(956) 603-1240
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 20, 2011
Last NPPES UpdateDecember 5, 20246 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1750661880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · P8009
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5019 S MCCOLL RD, Edinburg, TX 78539
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Other Identifiers 1

Medicaid350075304TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Adnan 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 ID1355658402
PECOS Enrollment IDI20150922001719
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 3

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

TAHIRA QASIM PA-C
Physician Assistant
5019 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 250-8249
ADNAN AHMED MD PLLC
Clinic/Center (Primary Care)
5019 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 322-5765
EDINBURG NEURODIAGNOSTIC AND SLEEP CENTER,LLC
Clinic/Center
5019 S MCCOLL RD
EDINBURG, TX 78539
Hidalgo County (956) 683-9300

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 Adnan Ahmed's NPI number?

The NPI number for Adnan Ahmed is 1750661880. It was assigned to this individual provider in the NPPES registry on August 20, 2011.

Where is Adnan Ahmed located?

Adnan Ahmed practices at 5019 S Mccoll Rd, Edinburg, TX 78539. The listed phone number is (956) 322-5765.

What is Adnan Ahmed's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Adnan Ahmed enrolled in Medicare?

Yes. Adnan 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.

What insurance does Adnan Ahmed accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Adnan 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 Adnan Ahmed was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.