DR. ASHIK NISAR AHMAD (MD) – Pediatric Emergency Medicine (Emergency Medicine) Physician, NPI 1104802305
Pediatric Emergency Medicine (Emergency Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ASHIK NISAR AHMAD (MD)
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
FORT MYERS, FL 339022147
Phone: (239) 343-6260
Fax: (239) 343-6259
Type: Mailing
3100 SW 62nd Ave
Miami, FL 331553009
Phone: (954) 494-1817
Type: Location
1210 S OLD DIXIE HWY
JUPITER, FL 334587205
Phone: (561) 263-4460
Fax: (239) 343-6259
Type: Mailing
HealthPark Medical Center, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States
FORT MYERS, FL 339083618
Phone: (239) 343-6260
Fax: (239) 343-6259
Type: Location
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: 2025-04-14
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 |
|---|---|---|---|---|
| I20070918000495 | I | Pediatric Medicine | FL | TBD |
| I20250414001044 | I | Pediatric Medicine | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33902)
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Reviews
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