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DR. SHAIKH MAMUN AHMED M.D.
NPI 1871530949
Internal Medicine in Dansville, NY

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
84.49/100
CMS Quality Rating
213 MAIN ST, DANSVILLE, NY 14437(585) 335-2210(585) 335-2213 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shaikh Mamun Ahmed M.d. NPPES

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

DR. SHAIKH MAMUN AHMED M.D. (NPI 1871530949) is an individual internal medicine provider in Dansville, New York, licensed in New York (231358-1) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1871530949
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHAIKH MAMUN AHMEDCredential: M.D.
Location Address213 MAIN STDansville, NY 14437-1315
Mailing AddressPo Box 57, 213 Main StreetDansville, NY 14437-0057 · (585) 335-2210 · Fax (585) 335-2213
Phone(585) 335-2210
Fax(585) 335-2213
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 23, 2014
✔ NPI 1871530949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 231358-1
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.
213 MAIN ST, Dansville, NY 14437
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified02426011NY
Medicare UPINH52530NY
Medicare ID-Type UnspecifiedRA6601NY

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

Dr. Shaikh Mamun 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 ID6507856648
PECOS Enrollment IDI20040512001277
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

6

Medicare enrollment records show Shaikh Ahmed reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shifa Medical PLLC
0.5 mi
Internal Medicine
26 RED JACKET ST
Dansville, NY 14437
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1356591234 (585) 335-2210
Nicholas H. Noyes Memorial Hospital
0.7 mi
General Acute Care Hospital
111 CLARA BARTON ST
Dansville, NY 14437
  • Reassigned Medicare billing, New York enrollment
  • 275 clinicians in this Medicare group
NPI 1982625661 (585) 335-6001
Nes Medical Services Of New York PC
25 mi
Emergency Medicine
7571 STATE ROUTE 54
Bath, NY 14810
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1215455191 (607) 776-8500
Delphi Hospitalist Services LLC
40 mi
Hospitalist
1160 CHILI AVE STE 200
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 185 clinicians in this Medicare group
NPI 1922270420 (585) 500-4814
New York Medical Physician Associates PC
133 mi
Hospitalist
111 HOSPITAL DR
Utica, NY 13502
  • Reassigned Medicare billing, New York enrollment
  • 304 clinicians in this Medicare group
NPI 1619722147 (315) 917-9966
Apogee Medical Group, New York, PC
1,949 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, New York enrollment
  • 354 clinicians in this Medicare group
NPI 1841520236 (602) 778-3600

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
151 services74 patients
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.
131 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
114 services101 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.
93 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14437 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

84.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.1
Promoting Interoperability100
Improvement Activities40
Cost63.69

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims79 services$5.77 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$21.20 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$4.22 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$8.33 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$35.92 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers13 claims78 services$2.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shaikh Ahmed's NPI number?

The NPI number for Shaikh Ahmed is 1871530949. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Shaikh Ahmed located?

Shaikh Ahmed practices at 213 Main St, Dansville, NY 14437. The listed phone number is (585) 335-2210.

What is Shaikh Ahmed's specialty?

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

Is Shaikh Ahmed enrolled in Medicare?

Yes. Shaikh 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.

Which organizations bill Medicare for Shaikh Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaikh Ahmed reassigns Medicare benefits to 6 organizations: Shifa Medical PLLC (Dansville, NY), Nicholas H. Noyes Memorial Hospital (Dansville, NY), Nes Medical Services Of New York PC (Bath, NY), Delphi Hospitalist Services LLC (Rochester, NY), New York Medical Physician Associates PC (Utica, NY) and 1 more organization, listed in the Medicare section above. 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 Shaikh Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Shaikh Ahmed affiliated with any hospitals?

According to CMS data, Shaikh Ahmed is affiliated with Wynn Hospital, St James Mercy Hospital, Samaritan Medical Center, Nicholas H Noyes Memorial Hospital and River Hospital Clinics.

When was this NPI record last updated?

The NPPES record for Shaikh Ahmed was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.