Heba Ahmed, DO
NPI 1568969327 · Family Medicine Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heba Ahmed, DO is a Family Medicine Physician provider in La Jolla, CA (NPI 1568969327).
Provider details
- NPI number
- 1568969327
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 20068 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
125 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $134 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 38 | $17 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 14 | $187 |
| Admn Sarscov2 Vacc 1 Dose90480 | 13 | $39 |
| Administration of Influenza Virus VaccineG0008 | 13 | $27 |
Typical Medicare-allowed amounts for these services range $17–$187 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 64 | 31 |
| Levothyroxine Sodium | 33 | 18 |
| Amlodipine Besylate | 26 | 12 |
| Lisinopril | 24 | — |
| Metformin Hcl | 23 | — |
| Rosuvastatin Calcium | 23 | 14 |
| Apixaban |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$569 across 23 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2725 Sw Cedar Hills Blvd Ste 250Beaverton, OR 97005-1469Phone: (503) 415-4060
Registry dates
- Enumerated
- 2018-04-09
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Heba Ahmed's NPI number?
- Heba Ahmed's National Provider Identifier (NPI) is 1568969327, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heba Ahmed's specialty?
- Heba Ahmed is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heba Ahmed located?
- Heba Ahmed's practice location on file with NPPES is 9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208.
- What is Heba Ahmed's phone number?
- The practice phone number listed in the NPPES registry for Heba Ahmed is (858) 554-1212.
- Does Heba Ahmed accept Medicare?
- Heba Ahmed is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heba Ahmed's NPI active?
- Yes — Heba Ahmed's NPI (1568969327) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.