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DR. ZUBAIR AHMAD M.D.
NPI 1962427112
Internal Medicine - Nephrology in Tulsa, OK

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
2000 S WHEELING AVE, 510, TULSA, OK 74104(918) 747-5200(918) 858-0290 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Zubair Ahmad M.d. NPPES

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

DR. ZUBAIR AHMAD M.D. (NPI 1962427112) is an individual nephrology provider in Tulsa, Oklahoma, licensed in Oklahoma (28235) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1962427112
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ZUBAIR AHMADCredential: M.D.
Location Address2000 S WHEELING AVE, 510Tulsa, OK 74104-5649
Mailing Address2000 S Wheeling Ave, 510Tulsa, OK 74104-5649 · (918) 747-5200 · Fax (918) 858-0290
Phone(918) 747-5200
Fax(918) 858-0290
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1962427112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OK · 28235
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2000 S WHEELING AVE, Tulsa, OK 74104
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Other Identifiers 1

Medicaid200316750AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Dr. Zubair Ahmad 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 ID4688679483
PECOS Enrollment IDI20111230000262
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 11

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 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.
442 services210 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.
426 services248 patients
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.
239 services121 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
124 services42 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
123 services42 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.
99 services98 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Mcalester Regional Health Center

Acute Care Hospitals · Mcalester, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370034
Location1 Clark Bass BoulevardMcalester, OK 74501 · Pittsburg County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital Henryetta

Acute Care Hospitals · Henryetta, OK
OwnershipProprietary
CMS Certification Number370183
Location2401 W MainHenryetta, OK 74437 · Okmulgee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%166 patients5/55-star benchmark: 99%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%508 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%742 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
42%496 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
58%496 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%496 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%496 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 331 patients
0%331 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims165 services$0.99 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims1,350 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims1,890 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.90 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers24 claims24 services$18.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers42 claims42 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

TULSA INTERNAL MEDICINE PHYSICIANS, PLLC
Internal Medicine
2000 S WHEELING AVE, STE 1000
TULSA, OK 74104
Tulsa County (918) 748-8467
LAURA KERR PA
Physician Assistant
2000 S WHEELING AVE, STE 200
TULSA, OK 74104
Tulsa County (918) 748-8381
JOEL NATHAN ABRAMOVITZ MD
Neurological Surgery
2000 S WHEELING AVE, SUITE 200
TULSA, OK 74104
Tulsa County (918) 748-7584
PEDIATRIC AND ADOLESCENT CARE, LLP
Pediatrics
2000 S WHEELING AVE, SUITE 300
TULSA, OK 74104
Tulsa County (918) 747-7544
KENNETH R SETTER M. D.
Pediatrics
2000 S WHEELING AVE, SUITE 300
TULSA, OK 74104
Tulsa County (918) 747-7544
SAMI RUMI FRAMJEE M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2000 S WHEELING AVE, SUITE 1110
TULSA, OK 74104
Tulsa County (918) 742-7339
SHERRI M GORDON M D
Pediatrics
2000 S WHEELING AVE, SUITE 300
TULSA, OK 74104
Tulsa County (918) 747-7544
ALLAN GREGORY ROSENFELD MD
Neurological Surgery
2000 S WHEELING AVE, STE 200
TULSA, OK 74104
Tulsa County (918) 748-7854

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 Zubair Ahmad's NPI number?

The NPI number for Zubair Ahmad is 1962427112. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Zubair Ahmad located?

Zubair Ahmad practices at 2000 S Wheeling Ave 510, Tulsa, OK 74104. The listed phone number is (918) 747-5200.

What is Zubair Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Zubair Ahmad enrolled in Medicare?

Yes. Zubair 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.

What insurance does Zubair Ahmad accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Zubair 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.

Is Zubair Ahmad affiliated with any hospitals?

According to CMS data, Zubair Ahmad is affiliated with Ascension St John Jane Phillips, Saint Francis Hospital Muskogee, Mcalester Regional Health Center, Ascension St John Medical Center and Hillcrest Hospital Henryetta.

When was this NPI record last updated?

The NPPES record for Zubair Ahmad was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.