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SUMIYA AHMED
NPI 1831623115
Internal Medicine in Columbus, NJ

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
23203 COLUMBUS RD STE I, COLUMBUS, NJ 08022(609) 303-4450(609) 303-4451 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 8, 2020, Sep 18, 2020, Sep 1, 2020 and 1 more (4 updates tracked since 2017).

About Sumiya Ahmed NPPES

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

SUMIYA AHMED (NPI 1831623115) is an individual internal medicine provider in Columbus, New Jersey, licensed in New Jersey (25MA10884900) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1831623115
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUMIYA AHMED
Location Address23203 COLUMBUS RD STE IColumbus, NJ 08022-1985
Mailing Address8 Orleans StPrinceton Junction, NJ 08550-2467 · (732) 666-8637
Phone(609) 303-4450
Fax(609) 303-4451
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 13, 2017
Last NPPES UpdateDecember 8, 20204 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1831623115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA10884900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
23203 COLUMBUS RD STE I, Columbus, NJ 08022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Sumiya Ahmed 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 ID1355760364
PECOS Enrollment IDI20200924001371
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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services50 patients
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.
29 services21 patients

Hospital Affiliations CMS Care Compare

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08022 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
65%238 patients3/55-star benchmark: 93%
Cervical Cancer Screening
52%765 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
25%661 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
65%260 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
16%122 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
30%122 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%2,560 patients4/55-star benchmark: 100%
e-Prescribing
100%842 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
92%157 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
51%1,139 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
86%1,138 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%1,627 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 88% · 1,255 patients
Patients screened: 94% · 1,255 patients
36%119 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
87%499 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
70%212 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 155 patients
Patients totalRate: 11% · 166 patients
12%166 patients3/55-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 3

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

EDDIE AKROUT
Family Medicine
23203 COLUMBUS RD STE I
COLUMBUS, NJ 08022
Burlington County (609) 303-4450
TARA MARIE PELLEGRINO D.O.
Family Medicine
23203 COLUMBUS RD STE I
COLUMBUS, NJ 08022
Burlington County (609) 303-4450
DR. RENEE B HICKMAN MD
Family Medicine
23203 COLUMBUS RD STE I
COLUMBUS, NJ 08022
Burlington County (609) 303-4450

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 Sumiya Ahmed's NPI number?

The NPI number for Sumiya Ahmed is 1831623115. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Sumiya Ahmed located?

Sumiya Ahmed practices at 23203 Columbus Rd Ste I, Columbus, NJ 08022. The listed phone number is (609) 303-4450.

What is Sumiya Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sumiya Ahmed enrolled in Medicare?

Yes. Sumiya 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 Sumiya Ahmed accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Sumiya 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 Sumiya Ahmed affiliated with any hospitals?

According to CMS data, Sumiya Ahmed is affiliated with Capital Health Medical Center - Hopewell.

When was this NPI record last updated?

The NPPES record for Sumiya Ahmed was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.