ZOHAIB AKHTAR M.D.
NPI 1760896633
Internal Medicine - Pulmonary Disease in Fairfield, OH

Active since June 18, 2014PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
3000 MACK RD STE 120, FAIRFIELD, OH 45014(513) 682-6975 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2023, Sep 8, 2021, Dec 17, 2020 and 1 more (4 updates tracked since 2020).

About Zohaib Akhtar M.d. NPPES

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

ZOHAIB AKHTAR M.D. (NPI 1760896633) is an individual pulmonary disease provider in Fairfield, Ohio, licensed in Ohio (35.148675) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1760896633
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameZOHAIB AKHTARCredential: M.D.
Location Address3000 MACK RD STE 120Fairfield, OH 45014-5335
Mailing Address3000 Mack Rd Ste 120Fairfield, OH 45014-5335 · (513) 682-6975
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 18, 2014
Last NPPES UpdateSeptember 25, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
NPI 1760896633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in OH · 35.148675 Licensed in IL · 036143369
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 036143369 (IL)
3000 MACK RD STE 120, Fairfield, OH 45014

Secondary Practice Location 1

Location 1305 W Jackson St Ste 301Carbondale, IL 62901-1474 · Phone (618) 529-0520 · Fax (618) 529-0519

Accepted 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

Zohaib Akhtar 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 ID2668778556
PECOS Enrollment IDI20231002002031
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.

Areas of Expertise CMS Part B claims 10

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.

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.
96 services69 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.
95 services59 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
70 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
68 services66 patients
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.
55 services32 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

Referred Medical Equipment & Supplies CMS DME claims 15

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers15 claims30 services$1.43 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
3 suppliers15 claims15 services$16.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$19.63 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers151 claims151 services$916.05 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
2 suppliers11 claims11 services$840.71 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
5 suppliers162 claims164 services$6.82 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 4

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

Internal Medicine (Pulmonary Disease)
3000 MACK RD STE 120
FAIRFIELD, OH 45014
Internal Medicine (Pulmonary Disease)
3000 MACK RD STE 120
FAIRFIELD, OH 45014
Internal Medicine (Pulmonary Disease)
3000 MACK RD STE 120
FAIRFIELD, OH 45014
Internal Medicine (Infectious Disease)
3000 MACK RD STE 120
FAIRFIELD, OH 45014

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 Zohaib Akhtar's NPI number?

The NPI number for Zohaib Akhtar is 1760896633. It was assigned to this individual provider in the NPPES registry on June 18, 2014.

Where is Zohaib Akhtar located?

Zohaib Akhtar practices at 3000 Mack Rd Ste 120, Fairfield, OH 45014. The listed phone number is (513) 682-6975.

What is Zohaib Akhtar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Zohaib Akhtar enrolled in Medicare?

Yes. Zohaib Akhtar 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 Zohaib Akhtar accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Zohaib Akhtar 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 Zohaib Akhtar affiliated with any hospitals?

According to CMS data, Zohaib Akhtar is affiliated with Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Zohaib Akhtar was last updated on September 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.