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MAQBOOL AHMAD APRN
NPI 1780442178
Nurse Practitioner - Family in Middlesboro, KY

Active since March 11, 2024PECOS EnrolledAccepts Medicare Assignment
113 TWIN ACRES RD, MIDDLESBORO, KY 40965(301) 401-9988 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maqbool Ahmad Aprn NPPES

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

MAQBOOL AHMAD APRN (NPI 1780442178) is an individual family provider in Middlesboro, Kentucky, licensed in Kentucky (4016646) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780442178
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMAQBOOL AHMADCredential: APRN
Location Address113 TWIN ACRES RDMiddlesboro, KY 40965-9440
Mailing Address113 Twin Acres RdMiddlesboro, KY 40965-9440 · (301) 401-9988
Phone(301) 401-9988
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 10, 2024
✔ NPI 1780442178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4016646
113 TWIN ACRES RD, Middlesboro, KY 40965
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Maqbool Ahmad Aprn 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 ID1850814336
PECOS Enrollment IDI20250325002803
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

2

Medicare enrollment records show Maqbool Ahmad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kentucky Friendly Care Center, Inc.
0.8 mi
Rural Health
125 LOTHBURY AVENUE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1467939066 (606) 248-5322
Health Solutions LLC
94 mi
Rural Health
805 BURKESVILLE ST
Columbia, KY 42728
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1184974354 (270) 384-0233

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Maqbool Ahmad's NPI number?

The NPI number for Maqbool Ahmad is 1780442178. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Maqbool Ahmad located?

Maqbool Ahmad practices at 113 Twin Acres Rd, Middlesboro, KY 40965. The listed phone number is (301) 401-9988.

What is Maqbool Ahmad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Maqbool Ahmad enrolled in Medicare?

Yes. Maqbool Ahmad 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 Maqbool Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maqbool Ahmad reassigns Medicare benefits to 2 organizations: Kentucky Friendly Care Center, Inc. (Middlesboro, KY) and Health Solutions LLC (Columbia, KY). 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 Maqbool Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maqbool Ahmad was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.