Provider profile

Hisham AhmedMD

Internal Medicine

NPI 1568486413
1457 Suncrest Dr, Lapeer, MI 48446810-245-3629

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Medicare Advantage plans for Lapeer County, MI.

Checked Oct 28, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 76 Medicare Advantage plans we show for Lapeer County, MI in 2027

  • 63 list Hisham
  • 13 not listed

Humana

15 plans list Hisham.

15plans
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439
    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-384-000Medicare.gov
    $0a month
  • Humana Full Access (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439
    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-052-000Medicare.gov
    $0a month
  • Humana Full Access Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439
    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-058-000Medicare.gov
    $0a month
  • Humana Full Access Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439
    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-306-000Medicare.gov
    $0a month

Health Alliance Plan by Henry Ford Health

12 plans list Hisham; not listed on 1 other plan.

12plans
  • HAP Medicare Connect (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH2354-015-000Medicare.gov
    $0a month
  • HAP Medicare Explore (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-011-000Medicare.gov
    $0a month
  • HAP Medicare MedicalAccess (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH2354-019-000Medicare.gov
    $0a month
  • HAP Medicare Prime (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH2322-016-000Medicare.gov
    $0a month

UnitedHealthcare

11 plans list Hisham.

11plans
  • AARP Medicare Advantage from UHC MI-0001 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH0294-017-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC MI-4 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverageH2736-001-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx MI-MA01 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3 starsH0294-022-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx MI-MA2 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverageH2736-004-000Medicare.gov
    $0a month

Priority Health Medicare

9 plans list Hisham.

9plans
  • PriorityMedicare Edge (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH4875-020-003Medicare.gov
    $0a month
  • PriorityMedicare Key (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH2320-022-005Medicare.gov
    $0a month
  • PriorityMedicare Thrive (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH4875-024-005Medicare.gov
    $0a month
  • PriorityMedicare Align (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH2320-033-005Medicare.gov
    $6.30a month

Wellcare

5 plans list Hisham.

5plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5475-038-000Medicare.gov
    $0a month
  • Wellcare Giveback (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5475-031-000Medicare.gov
    $0a month
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH5475-026-000Medicare.gov
    $0a month
  • Wellcare Meridian Health Dual Access (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3 starsH5475-001-000Medicare.gov
    $0a month

Blue Cross Blue Shield of Michigan

4 plans list Hisham.

4plans
  • Medicare Plus Blue Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-010-000Medicare.gov
    $0a month
  • Medicare Plus Blue Vitality (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-002-004Medicare.gov
    $91a month
  • Medicare Plus Blue Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-001-004Medicare.gov
    $132a month
  • Medicare Plus Blue Assure (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH9572-003-004Medicare.gov
    $217.50a month

Blue Care Network

3 plans list Hisham.

3plans
  • BCN Advantage Elements (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4.5 starsH5883-017-000Medicare.gov
    $0a month
  • BCN Advantage Classic (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-002-004Medicare.gov
    $117a month
  • BCN Advantage Prestige (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4.5 starsH5883-003-004Medicare.gov
    $241a month

McLaren Medicare

3 plans list Hisham.

3plans
  • McLaren Medicare Inspire (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-001-000Medicare.gov
    $0a month
  • McLaren Medicare Inspire Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-008-000Medicare.gov
    $0a month
  • McLaren Medicare Inspire Plus (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446
    • 9463 Holly Rd, Ste 103, Grand Blanc, MI, 48439

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH6322-002-000Medicare.gov
    $20a month

Molina Healthcare of Michigan

1 plan lists Hisham.

1plan
  • Molina Medicare Complete Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1457 Suncrest Dr, Lapeer, MI, 48446

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5926-001-000Medicare.gov
    $0.90a month

Aetna Medicare

Not listed on its 3 plans here. That isn't proof they're out of network.

Trinity Health Plan of Michigan

Not listed on its 4 plans here. That isn't proof they're out of network.

Zing Health

Not listed on its 5 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Hisham takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

1457 Suncrest Dr
Lapeer, MI 48446

NPI Registry
NPI issued
2006
Registry record updated
Jan 23, 2014

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Hisham Ahmed?

In Lapeer County, MI, 63 Medicare Advantage plans for 2027 list Hisham in provider data from Medicare.gov or the carrier, including Humana Full Access (PPO) and Humana Full Access Giveback (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Hisham Ahmed take Humana Medicare Advantage plans?

Humana's own provider directory lists Hisham on 15 Medicare Advantage plans for 2027 in Lapeer County, MI, including Humana Full Access (PPO). Confirm with the office or Humana before you enroll.

Does Hisham Ahmed take Health Alliance Plan by Henry Ford Health Medicare Advantage plans?

Medicare.gov provider data lists Hisham on 12 Medicare Advantage plans for 2027 in Lapeer County, MI, including HAP Medicare Connect (HMO) and HAP Medicare Explore (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Health Alliance Plan by Henry Ford Health before you enroll.

Does Hisham Ahmed take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Hisham on 11 Medicare Advantage plans for 2027 in Lapeer County, MI, including AARP Medicare Advantage from UHC MI-0001 (PPO) and AARP Medicare Advantage from UHC MI-4 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Where does Hisham Ahmed practice?

1457 Suncrest Dr, Lapeer, MI 48446.

How do I confirm Hisham is in my plan's network?

Call the member services number on your plan card and give them the NPI 1568486413, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Hisham's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Hisham Ahmed on 12 plans from Aetna Medicare, Trinity Health Plan of Michigan and Zing Health in Lapeer County, MI. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2014-01-23). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 28, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Hisham Ahmed or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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