ZAIN AHMED M.D.
NPI 1952782567
Internal Medicine - Cardiovascular Disease in Wallingford, CT

Active since June 10, 2015PECOS EnrolledAccepts Medicare Assignment
88.65/100
CMS Quality Rating
1062 BARNES RD STE 300, WALLINGFORD, CT 06492(203) 265-9831 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2022, Oct 22, 2018, Oct 19, 2018 (3 updates tracked since 2018).

About Zain Ahmed M.d. NPPES

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

ZAIN AHMED M.D. (NPI 1952782567) is an individual cardiovascular disease provider in Wallingford, Connecticut, licensed in Connecticut (71523) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2015).

NPPES Registry Identity

NPI1952782567
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameZAIN AHMEDCredential: M.D.
Location Address1062 BARNES RD STE 300Wallingford, CT 06492-2576
Mailing Address1062 Barnes Rd Ste 300Wallingford, CT 06492-2576 · (203) 265-9831
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2015
Enumeration DateJune 10, 2015
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1952782567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CT · 71523
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP03522 (RI)
1062 BARNES RD STE 300, Wallingford, CT 06492

Secondary Practice Locations 2

Location 120 York Street, YNHH - CardiologyNew Haven, CT 06510-3220 · Phone (203) 688-4242
Location 2593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-4741 · Fax (401) 444-4445

Accepted 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

Zain 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 ID7315255387
PECOS Enrollment IDI20220921002235
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

4

Medicare enrollment records show Zain Ahmed reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
435 LEWIS AVE
Meriden, CT 06451
  • Reassigned Medicare billing, Connecticut enrollment
  • 505 clinicians in this Medicare group
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,333 clinicians in this Medicare group
Cardiovascular Disease
85 SEYMOUR ST, SUITE 719
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Consulting Cardiologists PC
  • 21 clinicians in this Medicare group
Cardiovascular Disease
835 BLOOMFIELD AVE
Windsor, CT 06095
  • Reassigned Medicare billing, Connecticut enrollment
  • 34 clinicians in this Medicare group

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 15

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.
201 services139 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
146 services134 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
107 services84 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.
64 services62 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
43 services42 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

88.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.01
Promoting Interoperability98
Improvement Activities40
Cost82.87

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.

Internal Medicine (Cardiovascular Disease)
1062 BARNES RD STE 300
WALLINGFORD, CT 06492
Internal Medicine (Cardiovascular Disease)
1062 BARNES RD STE 300
WALLINGFORD, CT 06492
Nurse Practitioner (Family)
1062 BARNES RD STE 300
WALLINGFORD, CT 06492

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 Zain Ahmed's NPI number?

The NPI number for Zain Ahmed is 1952782567. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Zain Ahmed located?

Zain Ahmed practices at 1062 Barnes Rd Ste 300, Wallingford, CT 06492. The listed phone number is (203) 265-9831.

What is Zain Ahmed's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Zain Ahmed enrolled in Medicare?

Yes. Zain 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 Zain Ahmed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zain Ahmed reassigns Medicare benefits to 4 organizations: Midstate Medical Center (Meriden, CT), Hartford Hospital (Hartford, CT), Consulting Cardiologists, P.C. (Hartford, CT) and Connecticut Heart Physicians, Inc. (Windsor, CT). 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 Zain Ahmed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zain Ahmed accept?

Health plans from Anthem Blue Cross and Blue Shield list Zain 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.

When was this NPI record last updated?

The NPPES record for Zain Ahmed was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.