DR. OMAR SHAYAN AHMED M.D.
NPI 1811263411
Internal Medicine - Rheumatology in Newport News, VA

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment
56.06/100
CMS Quality Rating
860 OMNI BLVD STE 111, NEWPORT NEWS, VA 23606(757) 369-8138 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Jul 10, 2023, Jan 9, 2017 (3 updates tracked since 2017).

About Dr. Omar Shayan Ahmed M.d. NPPES

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

DR. OMAR SHAYAN AHMED M.D. (NPI 1811263411) is an individual rheumatology provider in Newport News, Virginia, licensed in Virginia (0101259674) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811263411
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. OMAR SHAYAN AHMEDCredential: M.D.
Location Address860 OMNI BLVD STE 111Newport News, VA 23606-4430
Mailing Address860 Omni Blvd, Ste 111Newport News, VA 23606
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 28, 2012
Last NPPES UpdateJune 18, 20253 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
NPI 1811263411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in VA · 0101259674
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0101259674 (VA)
Also ListedHospitalistTaxonomy 208M00000X · License 0101259674 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R4091 (NH)
860 OMNI BLVD STE 111, Newport News, VA 23606

Secondary Practice Locations 2

Location 14000 Coliseum Dr Ste 445Hampton, VA 23666-5981 · Phone (757) 827-2127
Location 21 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000

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

Dr. Omar Shayan 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 ID7911159710
PECOS Enrollment IDI20160516002187
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.

Hospital Affiliations CMS Care Compare 5

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

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490041
Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County
Emergency services Birthing friendly

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

56.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality26.71
Improvement Activities40
Cost76.15

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%23 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
860 OMNI BLVD STE 111
NEWPORT NEWS, VA 23606
Nurse Practitioner (Family)
860 OMNI BLVD STE 111
NEWPORT NEWS, VA 23606
Family Medicine
860 OMNI BLVD STE 111
NEWPORT NEWS, VA 23606
Nurse Practitioner (Family)
860 OMNI BLVD STE 111
NEWPORT NEWS, VA 23606
Physician Assistant
860 OMNI BLVD STE 111
NEWPORT NEWS, VA 23606

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 Omar Ahmed's NPI number?

The NPI number for Omar Ahmed is 1811263411. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Omar Ahmed located?

Omar Ahmed practices at 860 Omni Blvd Ste 111, Newport News, VA 23606. The listed phone number is (757) 369-8138.

What is Omar Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Omar Ahmed enrolled in Medicare?

Yes. Omar 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 Omar Ahmed accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Omar 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.

Is Omar Ahmed affiliated with any hospitals?

According to CMS data, Omar Ahmed is affiliated with Mary Immaculate Hospital, Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center, Sentara Careplex Hospital and Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Omar Ahmed was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.