IMTIAZ HUSSAIN BANGASH (MD) – Hospitalist Physician, NPI 1003216953

IMTIAZ HUSSAIN BANGASH (MD) is a healthcare provider. based in Decatur, Illinois. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. CDR.0002708 (KS). The NPI Number for IMTIAZ HUSSAIN BANGASH (MD) is 1003216953

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
IMTIAZ HUSSAIN BANGASH (MD)
NPI
1003216953
Phone
(217) 464-5811
Address
1800 E Lake Shore Dr
Enumeration Date
28 August 2014
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8086913000
Graduation Year
2007 (19 years ago)
PAC ID
4688951288
Group Practice PAC ID
2466831557
Professional Enrollment ID
I20240117003467
Address ID
HI967061993EW91XXXRDXX500

Contacts

Secure Messaging
ibangash157628@ewd.direct.hshs.org
FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:11State licenses:3Other namesUpdated within 12 months

212 GENERAL PRACTICE in IL

Provider Addresses for IMTIAZ HUSSAIN BANGASH (MD)

  • 1800 E Lake Shore Dr

    Decatur, IL 625213810

    Phone: (217) 464-5811

    Type: Location

  • 4500 Memorial Dr

    Belleville, IL 622265360

    Phone: (618) 257-6220

    Type: Location

  • 401 E Spruce St

    Garden City, KS 678465679

    Phone: (620) 272-2222

    Fax: (620) 272-2755

    Type: Location

  • 1301 PUNCHBOWL ST

    HONOLULU, HI 968132499

    Phone: (808) 691-1000

    Type: Mailing

  • 1800 EAST LAKE SHORE DRIVE

    HSHS MEDICAL GROUP

    DECATUR, IL 62521

    Phone: (217) 464-5811

    Type: Mailing

  • 1800 E LAKE SHORE DR

    DECATUR, IL 625213810

    Phone: (217) 464-5811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170509001464IHospitalistILTBD
I20230424002878IInternal MedicineVITBD
I20240117003467IGeneral PracticeHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes297138$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10758$0
99239Hospital discharge day management, more than 30 minutes5552$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2319$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466831557View full group profile
NameSpecialtyState
Nurse PractitionerHI
Cardiovascular Disease (Cardiology), Internal MedicineHI
H O S P I T A L I S THI
E N D O C R I N O L O G YNY
Nurse PractitionerHI
H O S P I T A L I S THI
Nurse PractitionerHI
Geriatric Medicine, Family PracticeHI
Internal MedicineHI
Interventional Radiology, NeurosurgeryMD

Reviews

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Frequently asked questions

What unique ID ties claims to IMTIAZ HUSSAIN BANGASH (MD)?
NPI 1003216953 is assigned to IMTIAZ HUSSAIN BANGASH (MD) under the national enumeration system.
Is IMTIAZ HUSSAIN BANGASH (MD)'s NPI currently valid?
The extract we use shows IMTIAZ HUSSAIN BANGASH (MD) as active.
What kind of provider is IMTIAZ HUSSAIN BANGASH (MD)?
The page reflects Hospitalist Physician for IMTIAZ HUSSAIN BANGASH (MD). Clinical services aligned with this taxonomy classification.
Where does public data place IMTIAZ HUSSAIN BANGASH (MD)?
The snapshot lists Decatur, Illinois for IMTIAZ HUSSAIN BANGASH (MD); download NPPES for the complete set.
Is IMTIAZ HUSSAIN BANGASH (MD) a real provider?
This page reflects official NPPES data for NPI 1003216953. Always confirm identity and privileges with the practice and licensing boards.

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