NPPES file of Aug 9, 2026

Omar Shayan Ahmed, M.D.

Rheumatology Physician · Newport News, VA

Omar Shayan Ahmed, M.D. is a rheumatology physician with a practice address in Newport News, Virginia, and NPI 1811263411, issued on Mar 28, 2012. Check the license (Virginia 0101259674, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1811263411
Name
Omar Shayan Ahmed
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License numbers
0101259674 VA
R4091 NH
Self-reported in NPPES; status is on the state search
Practice location
860 Omni Blvd Ste 111, Newport News, VA 23606
Phone
(757) 369-8138
Enumerated
Mar 28, 2012
Record last updated
Jun 18, 2025
Medicare enrollment
Enrolled (PECOS I20160516002187); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 860 Omni Blvd Ste 111

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bhavika Amin, RN, FNP-BCFamily Nurse Practitioner1326279043
  2. Paris Cofield, NP-CNurse Practitioner1194382184
  3. Kiran De JesusPhysician Assistant1023663622
  4. Vinit Jha, FNPFamily Nurse Practitioner1710561527
  5. Jennifer Sharp-Warthan, M.D.Family Medicine Physician1417941824

Verify Omar Shayan Ahmed in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101259674
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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82% fewer Medicare Part D claims than the average rheumatology physician in 2024

349 Medicare Part D claims for 80 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. Brand-name drugs were 15% of claims.

  1. Omar Ahmed349
  2. Specialty average1,978

Most prescribed

  1. Prednisone73 claims
  2. Methotrexate52 claims
  3. Hydroxychloroquine Sulfate37 claims
  4. Allopurinol29 claims
  5. Enbrel Sureclick26 claims
  6. Actemra Actpen19 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 90.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costout of 100 · 30%50.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Tidewater Physicians Multispecialty Group, PCNewport News, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Omar Shayan Ahmed among 197 rheumatology physician records in Virginia

Omar Shayan Ahmed, M.D. is one of 197 rheumatology physician records with a practice address in Virginia. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 74% of them.

  • NPI issued2012 · 74% of these records are older, 22% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2012 · median 2004 among the 128 with a school on file
  • Record last updated2025 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Virginia

There are 197 rheumatology physician records in Virginia.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Kristi Mizelle, M.D.Newport News, VA 236061457490955
  2. Herbert Wilson, MDNewport News, VA 236061336237619
  3. Caleb Anderson, MDHampton, VA 236661982042917
  4. Chase Correia, M.D.Hampton, VA 236661609142801
  5. Stephanie Kao, MDHampton, VA 236661861011710
  6. David Maxwell, MDHampton, VA 236661245290907
  7. Simple Modi, MDHampton, VA 236661487182812
  8. Walter Wallingford, M.D.Hampton, VA 236661427132695

Common questions

What is Omar Shayan Ahmed, M.D.'s NPI number?

Omar Shayan Ahmed, M.D.'s National Provider Identifier (NPI) is 1811263411, issued on Mar 28, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Omar Shayan Ahmed, M.D. located?

The NPPES record lists a practice address at 860 Omni Blvd Ste 111, Newport News, VA, 23606. Phone: (757) 369-8138. Providers update this record themselves, so call before visiting.

How can I verify Omar Shayan Ahmed, M.D.'s license?

NPPES lists Virginia license number 0101259674, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Omar Shayan Ahmed, M.D. prescribe under Medicare Part D?

In 2024, Omar Shayan Ahmed, M.D. had 349 Medicare Part D claims for 80 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Omar Shayan Ahmed, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.