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AHMED BILAL SHEIKH MD
NPI 1942655568
Ophthalmology in Whippany, NJ

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment
16 S JEFFERSON RD, WHIPPANY, NJ 07981(973) 325-3300(973) 325-3320 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2024, Oct 25, 2023, Apr 3, 2023 and 3 more (6 updates tracked since 2020).

About Ahmed Bilal Sheikh Md NPPES

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

AHMED BILAL SHEIKH MD (NPI 1942655568) is an individual ophthalmology provider in Whippany, New Jersey, licensed in New Jersey (25MA11769500) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Rutgers New Jersey Medical School (2016).

NPPES Registry Identity

NPI1942655568
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameAHMED BILAL SHEIKHCredential: MD
Location Address16 S JEFFERSON RDWhippany, NJ 07981-1047
Mailing Address16 S Jefferson RdWhippany, NJ 07981-1047 · (973) 325-3300 · Fax (973) 325-3320
Phone(973) 325-3300
Fax(973) 325-3320
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2016
Enumeration DateMay 2, 2016
Last NPPES UpdateSeptember 11, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1942655568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in NJ · 25MA11769500✔ Licensed in MN · 69078✔ Licensed in PA · MD470057
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 25MA11769500 (NJ), 328390 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16 S JEFFERSON RD, Whippany, NJ 07981
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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

Ahmed Bilal Sheikh 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 ID8628312378
PECOS Enrollment IDI20230721003255, I20240906001031
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 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.
58 services47 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
57 services50 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.
21 services19 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
15 services14 patients
Probing of nasal tear duct 68840
Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.
13 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Ny Eye And Ear Infirmary Of Mount Sinai

Acute Care Hospitals · New York, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330100
Location230 Second AveNew York, NY 10003 · New York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07981 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES

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

DR. CHRISTINA BENN OD
Optometrist
16 S JEFFERSON RD
WHIPPANY, NJ 07981
Morris County (973) 325-3300

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 Ahmed Sheikh's NPI number?

The NPI number for Ahmed Sheikh is 1942655568. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Where is Ahmed Sheikh located?

Ahmed Sheikh practices at 16 S Jefferson Rd, Whippany, NJ 07981. The listed phone number is (973) 325-3300.

What is Ahmed Sheikh's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ahmed Sheikh enrolled in Medicare?

Yes. Ahmed Sheikh 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 Ahmed Sheikh accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Ahmed Sheikh 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 Ahmed Sheikh affiliated with any hospitals?

According to CMS data, Ahmed Sheikh is affiliated with Morristown Medical Center, Robert Wood Johnson University Hospital, Cooperman Barnabas Medical Center and Ny Eye And Ear Infirmary Of Mount Sinai.

When was this NPI record last updated?

The NPPES record for Ahmed Sheikh was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.