DR. ELIYAZAR GADDAM (MD) – Cardiovascular Disease Physician, NPI 1073561858

DR. ELIYAZAR GADDAM (MD) is a healthcare provider. based in Rockford, Illinois. specializing in DIAGNOSTIC RADIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.127156 (OH). The NPI Number for DR. ELIYAZAR GADDAM (MD) is 1073561858

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIYAZAR GADDAM (MD)
NPI
1073561858
Phone
(815) 971-2200
Address
2350 N Rockton Ave
Enumeration Date
4 May 2006
Last Update Date
28 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739623900
Graduation Year
1986 (40 years ago)
PAC ID
0749274140
Group Practice PAC ID
3375507163
Professional Enrollment ID
I20040409000013
Address ID
IL606213114CH326XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for DR. ELIYAZAR GADDAM (MD)

  • 2350 N Rockton Ave

    Rockford, IL 611033600

    Phone: (815) 971-2200

    Fax: (815) 971-9097

    Type: Location

  • 8201 E Riverside Blvd

    Rockford, IL 611142300

    Phone: (815) 971-2200

    Fax: (815) 971-9097

    Type: Location

  • Commerce Parkway, Lima, Allen County, Ohio, 45804, United States

    SUITE 101

    LIMA, OH 458044040

    Phone: (419) 998-4575

    Fax: (419) 998-4586

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $633.

Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($570).

Total Amount

$633

General + Research + Ownership

Payments

20

Total payment records

General Amount

$633

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2024-01-19

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
I20040409000013ICardiovascular Disease (Cardiology)ILTBD
I20240119003952IDiagnostic RadiologyILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only750511$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes19984$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function170164$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10084$0
99214Established patient office or other outpatient visit, 30-39 minutes7538$0
View full utilization report →

Insurance plans in this area (ZIP 61103)

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Provider's Procedures

DR. ELIYAZAR GADDAM (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report238163
CARDIOVASCULAR DISEASE (CARDIOLOGY)OH93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart1111

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: 3375507163View full group profile
NameSpecialtyState
Nurse PractitionerIL
G A S T R O E N T E R O L O G YIL
P S Y C H I A T R YIL
General SurgeryIL
Orthopedic SurgeryIN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineIL
Ophthalmology, Plastic And Reconstructive SurgeryIL
Nurse PractitionerMO
P O D I A T R YIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

How is DR. ELIYAZAR GADDAM (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ELIYAZAR GADDAM (MD) with NPI 1073561858.
Can I rely on DR. ELIYAZAR GADDAM (MD) being an active provider?
As of the registry snapshot, DR. ELIYAZAR GADDAM (MD) is marked active.
What is DR. ELIYAZAR GADDAM (MD) best known for clinically?
Directory data describes DR. ELIYAZAR GADDAM (MD) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does DR. ELIYAZAR GADDAM (MD) list a practice location?
Patients near Rockford, Illinois may find DR. ELIYAZAR GADDAM (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.