DR. ASAD NADEEM AHMED MD
NPI 1770149387
Hospitalist in Decatur, IL

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-5811(217) 464-1318 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2022, May 21, 2019 (2 updates tracked since 2019).

About Dr. Asad Nadeem Ahmed Md NPPES

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

DR. ASAD NADEEM AHMED MD (NPI 1770149387) is an individual hospitalist provider in Decatur, Illinois, licensed in Illinois (036159666) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770149387
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ASAD NADEEM AHMEDCredential: MD
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address1800 E Lake Shore DrDecatur, IL 62521-3810 · (217) 464-5811 · Fax (217) 464-1318
Fax(217) 464-1318
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 20, 2019
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
NPI 1770149387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IL · 036159666
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1800 E LAKE SHORE DR, Decatur, IL 62521

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. Asad Nadeem Ahmed Md 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 ID2860726411
PECOS Enrollment IDI20220706003692
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 5

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 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.
338 services146 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.
195 services92 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.
176 services170 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.
60 services60 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.
52 services34 patients

Hospital Affiliations CMS Care Compare 4

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Kirby Medical Center

Critical Access Hospitals · Monticello, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141301
Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521

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 Asad Ahmed's NPI number?

The NPI number for Asad Ahmed is 1770149387. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Asad Ahmed located?

Asad Ahmed practices at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-5811.

What is Asad Ahmed's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Asad Ahmed enrolled in Medicare?

Yes. Asad 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.

Is Asad Ahmed affiliated with any hospitals?

According to CMS data, Asad Ahmed is affiliated with St Johns Hospital, Decatur Memorial Hospital, St Marys Hospital and Kirby Medical Center.

When was this NPI record last updated?

The NPPES record for Asad Ahmed was last updated on July 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.