MANSOOR AHMAD (MD) – Family Medicine Physician, NPI 1639583321
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
753 INTERNAL MEDICINE in NE
Provider Addresses for MANSOOR AHMAD (MD)
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
1313 S ST
BRIDGEPORT, NE 693362563
Phone: (308) 262-1616
Type: Mailing
3801 SCOTT AND WHITE DR.
KILLEEN, TX 765435252
Phone: (254) 680-1100
Type: Location
515 22ND AVE
MONROE, WI 535661569
Phone: (608) 324-1454
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Ardelyx, Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ardelyx, Inc. | $20 |
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: 2025-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20210722003043 | I | Emergency Medicine | CO | TBD |
| I20210818001187 | I | Hospitalist | WI | TBD |
| I20220321000439 | I | Internal Medicine | TX | TBD |
| I20220401002247 | I | Hospitalist | AZ | TBD |
| I20220505001394 | I | Family Practice | KY | TBD |
| I20230609002099 | I | Family Practice | NM | TBD |
| I20230711002596 | I | Emergency Medicine | VA | TBD |
| I20241204002086 | I | Family Practice | OH | TBD |
| I20250109003911 | I | Emergency Medicine | MS | TBD |
| I20250205001544 | I | Emergency Medicine | AL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 87 | 85 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 50 | 50 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 33 | 32 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 22 | 12 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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