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SUFIAN AHMAD MD
NPI 1821352824
Psychiatry & Neurology - Psychiatry in Elizabethtown, KY

Active since June 25, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
151 DREXLER CIR STE 1, ELIZABETHTOWN, KY 42701(270) 506-2730(270) 900-0704 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sufian Ahmad Md NPPES

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

SUFIAN AHMAD MD (NPI 1821352824) is an individual psychiatry provider in Elizabethtown, Kentucky, licensed in Kentucky (48695) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1821352824
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSUFIAN AHMADCredential: MD
Location Address151 DREXLER CIR STE 1Elizabethtown, KY 42701-7843
Mailing Address151 Drexler Cir Ste 1Elizabethtown, KY 42701-7843
Phone(270) 506-2730
Fax(270) 900-0704
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 25, 2012
Last NPPES UpdateApril 20, 2016
✔ NPI 1821352824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 48695
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
151 DREXLER CIR STE 1, Elizabethtown, KY 42701
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100250610KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

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

Sufian Ahmad 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 ID244529873
PECOS Enrollment IDI20160520000143
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

5

Medicare enrollment records show Sufian Ahmad reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Astra Behavioral Health LLC
2.2 mi
Psychiatry
2000 RING RD
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 77 clinicians in this Medicare group
NPI 1922427517 (270) 506-2730
United Healthcare Of Hardin, Inc
2.7 mi
Clinical
7260 N DIXIE BLVD
Radcliff, KY 40160
  • Reassigned Medicare billing, Kentucky enrollment
  • 16 clinicians in this Medicare group
NPI 1851500466 (270) 351-9444
Tbd Acquisition, LLC
36 mi
Psychiatric Hospital
1405 BROWNS LN
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 14 clinicians in this Medicare group
NPI 1275953754 (502) 896-0495
Kmi Acquisition LLC
39 mi
Psychiatry
8521 LA GRANGE RD
Louisville, KY 40242
  • Reassigned Medicare billing, Kentucky enrollment
  • 8 clinicians in this Medicare group
NPI 1073194585 (502) 426-6380
Wellstone Regional Hospital Acquisition LLC
41 mi
Community/Behavioral Health
2700 VISSING PARK RD
Jeffersonville, IN 47130
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group
NPI 1194864843 (812) 284-8000

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
281 services62 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
156 services40 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.
69 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services15 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

JOY CAMPBELL APRN
Nurse Practitioner (Psychiatric/Mental Health)
151 DREXLER CIR STE 1
ELIZABETHTOWN, KY 42701
Hardin County (270) 506-2730

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 Sufian Ahmad's NPI number?

The NPI number for Sufian Ahmad is 1821352824. It was assigned to this individual provider in the NPPES registry on June 25, 2012.

Where is Sufian Ahmad located?

Sufian Ahmad practices at 151 Drexler Cir Ste 1, Elizabethtown, KY 42701. The listed phone number is (270) 506-2730.

What is Sufian Ahmad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sufian Ahmad enrolled in Medicare?

Yes. Sufian 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 Sufian Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sufian Ahmad reassigns Medicare benefits to 5 organizations: Astra Behavioral Health LLC (Elizabethtown, KY), United Healthcare Of Hardin, Inc (Radcliff, KY), Tbd Acquisition, LLC (Louisville, KY), Kmi Acquisition LLC (Louisville, KY) and Wellstone Regional Hospital Acquisition LLC (Jeffersonville, IN). 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 Sufian Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sufian Ahmad accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Sufian Ahmad 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.

When was this NPI record last updated?

The NPPES record for Sufian Ahmad was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.