ABDUR RAHMAN FUZAIL AHMAD – Clinical Cardiac Electrophysiology Physician, NPI 1053727776

ABDUR RAHMAN FUZAIL AHMAD is a healthcare provider. based in Springfield, Illinois. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. 67263 (WI). The NPI Number for ABDUR RAHMAN FUZAIL AHMAD is 1053727776

Main info

Male
16 Years Of Experience
Name
ABDUR RAHMAN FUZAIL AHMAD
NPI
1053727776
Phone
(217) 788-0706
Address
619 E MASON ST STE 4P57
Enumeration Date
2 July 2014
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173225296
Graduation Year
2010 (16 years ago)
PAC ID
2961751714
Group Practice PAC ID
9638076474
Professional Enrollment ID
I20230302002813
Address ID
IL626811465RU238XXSTXX400

Contacts

Secure Messaging
abdurrahman.ahmad.p1@direct.cvmedpc.nextgenshare.com
Secure Messaging
aahmad399521@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness95
Years active:11State licenses:3Other names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for ABDUR RAHMAN FUZAIL AHMAD

  • 619 E MASON ST STE 4P57

    SPRINGFIELD, IL 627011034

    Phone: (217) 788-0706

    Fax: (217) 525-2535

    Type: Location

  • 619 E Mason St Ste 4P57

    Springfield, IL 627011034

    Phone: (217) 788-0706

    Fax: (217) 525-2535

    Type: Location

  • 6901 W EDGERTON AVE

    GREENFIELD, WI 532204420

    Phone: (414) 325-5244

    Fax: (414) 421-3772

    Type: Mailing

  • 101 E 9TH ST

    PANA, IL 625571785

    Phone: (217) 562-2131

    Type: Location

  • 1236 E RUSHOLME ST STE 300

    DAVENPORT, IA 528032484

    Phone: (563) 324-2992

    Fax: (563) 324-8562

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $6,026.

Total Amount is formed as General ($6,026) + Research ($0) + Ownership ($0) = $6,026.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($2,726).

Total Amount

$6,026

General + Research + Ownership

Payments

49

Total payment records

General Amount

$6,026

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220622000433ICardiac ElectrophysiologyIATBD
I20230302002813ICardiovascular Disease (Cardiology)ILTBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report828621$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days633536$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days408353$0
99214Established patient office or other outpatient visit, 30-39 minutes264239$0
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec24096$0
View full utilization report →

Insurance plans in this area (ZIP 62701)

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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: 9638076474View full group profile
NameSpecialtyState
Internal Medicine, NephrologyIL
Nurse PractitionerIL
Internal MedicineIL
Emergency MedicineIL
Diagnostic RadiologyNM
Nurse PractitionerIL
-IN
Nurse PractitionerIL
Nurse PractitionerIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What is ABDUR RAHMAN FUZAIL AHMAD's NPI number?
ABDUR RAHMAN FUZAIL AHMAD's NPI is 1053727776 — the number used across U.S. healthcare to identify this provider.
Would ABDUR RAHMAN FUZAIL AHMAD appear as active to a payer?
You can treat ABDUR RAHMAN FUZAIL AHMAD as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ABDUR RAHMAN FUZAIL AHMAD?
ABDUR RAHMAN FUZAIL AHMAD's record emphasizes Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ABDUR RAHMAN FUZAIL AHMAD?
Directory geography for ABDUR RAHMAN FUZAIL AHMAD centers on Springfield, Illinois.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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