DR. MOHAMMAD ALI KIZILBASH (MD) – Cardiovascular Disease Physician, NPI 1114162948
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,597 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL
Provider Addresses for DR. MOHAMMAD ALI KIZILBASH (MD)
1340 Charles St
Suite 300
Rockford, IL 611042200
Phone: (815) 490-5888
Fax: (815) 490-5898
Type: Location
10370 Haligus Rd Ste 200
Huntley, IL 601429582
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
360 Station Dr Fl 3
Crystal Lake, IL 600147978
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
West Medical Center Drive, McHenry, McHenry County, Illinois, 60050, United States
MCHENRY, IL 600508437
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $11,328.
Total Amount is formed as General ($11,328) + Research ($0) + Ownership ($0) = $11,328.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($11,230).
Total Amount
$11,328
General + Research + Ownership
Payments
15
Total payment records
General Amount
$11,328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-09-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090923000184 | I | Cardiovascular Disease (Cardiology) | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 1,549 | 1,379 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1,030 | 1,014 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,003 | 420 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 618 | 507 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 412 | 388 | $0 |
Insurance plans in this area (ZIP 61104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 45 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| P A T H O L O G Y | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| A N E S T H E S I O L O G Y | MI | |
| Nurse Practitioner | IL |
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