Ismat Ahmad, MD - Medicare Family Practice in Lehighton, PA

Ismat Ahmad, MD is a medicare enrolled "Emergency Medicine" physician in Lehighton, Pennsylvania. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice St Luke's Physician Group Inc and her current practice location is 500 St Lukes Dr, Lehighton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (484) 526-4500.

Ismat Ahmad is licensed to practice in Pennsylvania (license number MD459436) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568807980.

Contact Information

Ismat Ahmad, MD
500 St Lukes Dr,
Lehighton, PA 18235-5000
(484) 526-4500
Not Available

Map and Direction




Physician's Profile

Full NameIsmat Ahmad
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location500 St Lukes Dr, Lehighton, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ismat Ahmad graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1568807980
  • Provider Enumeration Date: 04/30/2013
  • Last Update Date: 11/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496041725
  • Enrollment ID: I20170731002678

Medical Identifiers

Medical identifiers for Ismat Ahmad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568807980NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD459436 (Pennsylvania)Secondary
207P00000XEmergency Medicine MD459436 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Miners Memorial HospitalCoaldale, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331727

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ismat Ahmad allows following entities to bill medicare on her behalf.
Entity NameThe Carbon-schuylkill Community Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194891010
PECOS PAC ID: 4486562030
Enrollment ID: O20031117000015
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ismat Ahmad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ismat Ahmad, MD
755 Memorial Pkwy, Suite 300,
Phillipsburg, NJ 08865-2748

Ph: (908) 454-6303
Ismat Ahmad, MD
500 St Lukes Dr,
Lehighton, PA 18235-5000

Ph: (484) 526-4500

Reviews and Comments


Emergency Medicine Doctors in Lehighton, PA

Frank R Penater, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 N 12th St, Lehighton, PA 18235
Phone: 810-377-7080    
Dr. Francis J Braconaro, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2226 Blakeslee Boulevard Dr E Ste 200, Lehighton, PA 18235
Phone: 484-224-9700    
Dr. Jared Paster, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2128 Blakeslee Boulevard Dr E, Lehighton, PA 18235
Phone: 484-224-9970    
Gene J Upanavage, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 211 N 12th St, Lehighton, PA 18235
Phone: 610-377-7080    
Michael Lawrence Grimaldi, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2226 Blakeslee Boulevard Dr E Ste 200, Lehighton, PA 18235
Phone: 610-402-3560    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.