2026 NPPES data Family Medicine Physician NPI 1952587412 M.D.
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ALI AHMAD, M.D.

Family Medicine Physician in NEWPORT BEACH, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
27
Medicare Part D claims · Family Medicine Physician avg: 3K
What the federal data reveals: ALI AHMAD, M.D. is a Family Medicine Physician ([object Object]) practicing in NEWPORT BEACH, California with a Medicare Part D prescribing footprint of 27 claims .

What stands out: ALI AHMAD, M.D. filed 27 Medicare Part D claims in 2023 across NEWPORT BEACH, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ALI AHMAD, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ALI AHMAD, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/15/2008

NPI 1952587412

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

27 99% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in California

How Family Medicine Physician compares to other specialties among California providers

California providers

Family Medicine Physician share within California

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within California

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ALI AHMAD, M.D. is a Family Medicine Physician provider practicing in NEWPORT BEACH, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1952587412. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ALI AHMAD, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 320 SUPERIOR AVE STE 260, NEWPORT BEACH, CA, 92663, with a listed phone of (949) 333-9056. NPI 1952587412 was issued on 01/15/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AHMAD most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 27 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

320 SUPERIOR AVE STE 260
NEWPORT BEACH, CA 92663

Provider Details

NPI 1952587412
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 01/15/2008

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to ALI AHMAD, M.D.. To verify ALI AHMAD, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

27
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
853
Generic Drug Cost
$286

Patient Demographics

Average Patient Age
61.7 years
Avg HCC Risk Score
0.40

Family Medicine Physician Overview

How ALI AHMAD, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ALI AHMAD, M.D.'s 27 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as AHMAD.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALI AHMAD, M.D.'s specialty?
ALI AHMAD, M.D. specializes in Family Medicine Physician and practices in NEWPORT BEACH, California. Credentials: M.D..
How much does ALI AHMAD, M.D. prescribe under Medicare Part D?
In 2023, ALI AHMAD, M.D. wrote 27 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is ALI AHMAD, M.D. located?
ALI AHMAD, M.D. is located at 320 SUPERIOR AVE STE 260, NEWPORT BEACH, CA, 92663. Phone: (949) 333-9056.
What is ALI AHMAD, M.D.'s NPI number?
ALI AHMAD, M.D.'s National Provider Identifier (NPI) is 1952587412, issued on 01/15/2008.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does ALI AHMAD, M.D. accept Medicare?
ALI AHMAD, M.D. appears in CMS Medicare data with 27 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALI AHMAD, M.D.'s credentials?
ALI AHMAD, M.D.'s NPI is 1952587412 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology