DR. AAMIR NAFEES AHMAD MD
NPI 1801392311
Orthopaedic Surgery - Sports Medicine in Edinburg, TX
NPI Status: Active since April 03, 2018
Contact Information
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
Phone: (956) 296-3001
Fax: (956) 296-3000
- Individual
- Male
- Years of Experience 8
- Orthopaedic Surgery
- Sports Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About AAMIR AHMAD
This page provides the complete NPI Profile along with additional information for Aamir Ahmad, a provider established in Edinburg, Texas with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 8 years of experience. He graduated from University Of Arizona College Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1801392311 assigned on April 2018. The practitioner's primary taxonomy code is 207XX0005X with license number V2001 (TX). The provider is registered as an individual and his NPI record was last updated March 2025.
- NPI
- 1801392311
- Provider Name
- DR. AAMIR NAFEES AHMAD MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3804 S JACKSON RD STE 1 EDINBURG, TX 78539
- Location Phone
- (956) 296-3001
- Location Fax
- (956) 296-3000
- Mailing Address
- PO BOX 531968 HARLINGEN, TX 78553
- Mailing Phone
- (883) 887-4863
- Mailing Fax
- (956) 296-3000
- Medical School Name
- UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2018
- Last Update Date
- 03-10-2025
- Code Navigator
Location Map
Secondary Locations
- 1315 E 6th St Ste 10
Weslaco, TX 78596
(956) 296-2821
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- V2001
- License State
- TX
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Aamir Ahmad is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Aamir Ahmad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3173871548
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240722002095
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 3 | 9 | 2 | 3 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 6 | 9 | 4 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 6 + 9 + 4 + 3 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1801392311 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
DR. HERBERT J. NASSOUR III M. D.
Surgery
(Plastic and Reconstructive Surgery)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
MS. ALDA MARTINEZ MPAS, PA-C.
Physician Assistant
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
DR. MICHAEL TIMOTHY LAGO M.D.
Orthopaedic Surgery
(Pediatric Orthopaedic Surgery)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
EDWARD J. KRUSE D.O.
Surgery
(Surgical Oncology)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
MARIA FERNANDA MUNOZ AU.D.
Audiologist
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
DR. EVAN DUSTIN PEREZ M.D
Family Medicine
(Sports Medicine)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
DR. FRANK JOSEPH GEROLD M.D.
Orthopaedic Surgery
(Hand Surgery)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
MARIER BERNAL
Physician Assistant
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
DUSTIN B PRINS D.P.M.
Podiatrist
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
GRAHAM A. HAMILTON DPM
Podiatrist
(Foot & Ankle Surgery)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
DORINDA R RODRIGUEZ OTR, OTD, CHT
Occupational Therapist
(Hand)
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
GRACIE ADAMS FNP
Nurse Practitioner
3804 S JACKSON RD STE 1
EDINBURG, TX
ZIP 78539
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801392311, enumerated as an "individual" on April 03, 2018.
The provider is located at 3804 S JACKSON RD STE 1 EDINBURG, TX 78539 and the phone number is (956) 296-3001.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to verify.