ABUL SHAMIM AHSAN (M.D.) – Hospitalist Physician, NPI 1376711044
Hospitalist Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,190 INTERNAL MEDICINE in MO
Provider Addresses for ABUL SHAMIM AHSAN (M.D.)
1125 MADISON ST
JEFFERSON CITY, MO 651015227
Phone: (573) 632-5000
Fax: (573) 634-2033
Type: Location
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 43055
Phone: (220) 564-1790
Fax: (220) 564-1791
Type: Mailing
PO BOX 843966
KANSAS CITY, MO 641843966
Phone: (573) 884-3300
Fax: (573) 884-0943
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210113000614 | I | Internal Medicine | MO | TBD |
| I20250904003237 | I | Internal Medicine | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 240 | 228 | $0 |
| 99291 | Critical care, first 30-74 minutes | 99 | 89 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 69 | 68 | $0 |
Insurance plans in this area (ZIP 65101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Internal Medicine, Hospitalist | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Internal Medicine | MO |
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