DR. OBAIDULLAH AHMED (MD) – Family Medicine Physician, NPI 1235190646

DR. OBAIDULLAH AHMED (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 044879 (GA). The NPI Number for DR. OBAIDULLAH AHMED (MD) is 1235190646

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. OBAIDULLAH AHMED (MD)
NPI
1235190646
Phone
(904) 202-1032
Address
PO BOX 45443
Enumeration Date
28 March 2006
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192213717
Graduation Year
1987 (39 years ago)
PAC ID
2264684596
Group Practice PAC ID
5597752063
Professional Enrollment ID
I20160720001035
Address ID
GA315486515KI1390XEXTX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. OBAIDULLAH AHMED (MD)

  • PO BOX 45443

    SALT LAKE CITY, UT 841450443

    Phone: (904) 202-1032

    Fax: (904) 376-4107

    Type: Mailing

  • PO BOX 746638

    ATLANTA, GA 303746638

    Phone: (904) 202-1032

    Fax: (904) 376-4107

    Type: Mailing

  • 851042 US HIGHWAY 17

    YULEE, FL 320972845

    Phone: (904) 225-3824

    Fax: (904) 390-7440

    Type: Location

  • Dan Proctor Drive, Saint Marys, Camden County, Georgia, 31558, United States

    SUITE 3100

    SAINT MARYS, GA 315583894

    Phone: (912) 882-3737

    Fax: (912) 882-2691

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,082.

Total Amount is formed as General ($1,082) + Research ($0) + Ownership ($0) = $1,082.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($237).

Total Amount

$1,082

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-07-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121212000253IFamily PracticeFLTBD
I20160720001035IFamily PracticeGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes935307$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit197197$0
83036Hemoglobin a1c level10064$0
82962Blood glucose (sugar) test performed by hand-held instrument9159$0
99215Established patient office or other outpatient visit, 40-54 minutes7258$0
View full utilization report →

Insurance plans in this area (ZIP 84145)

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Provider's Procedures

DR. OBAIDULLAH AHMED (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA83036Hemoglobin A1C level1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597752063View full group profile
NameSpecialtyState
Internal MedicineSC
P O D I A T R YFL
Internal MedicineSC
Physical Medicine And RehabilitationNY
Physical Therapist In Private PracticeNY
Nurse PractitionerGA
Family Practice, Sports MedicineFL
Orthopedic Surgery, Sports MedicineFL
Internal MedicineGA
Orthopedic SurgeryFL

Reviews

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Frequently asked questions

What number should I use to identify DR. OBAIDULLAH AHMED (MD) for billing?
Administrative and clinical systems typically use NPI 1235190646 for DR. OBAIDULLAH AHMED (MD).
Quick check: is DR. OBAIDULLAH AHMED (MD) active?
Public NPPES data shows DR. OBAIDULLAH AHMED (MD) with an active NPI status right now.
Which specialty label fits DR. OBAIDULLAH AHMED (MD)?
NPPES ties DR. OBAIDULLAH AHMED (MD) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. OBAIDULLAH AHMED (MD)?
DR. OBAIDULLAH AHMED (MD) is associated with Salt Lake City, Utah in the same public data insurers reference.
Why is information missing for DR. OBAIDULLAH AHMED (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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