JAMALUDDIN F AMANULLAH (M.D.) – Internal Medicine Physician, NPI 1184673147

JAMALUDDIN F AMANULLAH (M.D.) is a healthcare provider. based in Pekin, Illinois. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35084268 (OH). The NPI Number for JAMALUDDIN F AMANULLAH (M.D.) is 1184673147

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
JAMALUDDIN F AMANULLAH (M.D.)
NPI
1184673147
Phone
(314) 971-5717
Address
2401 BROADWAY ST
Enumeration Date
8 May 2006
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096725733
Graduation Year
2004 (22 years ago)
PAC ID
4385622323
Group Practice PAC ID
1355259714
Professional Enrollment ID
I20110802000270
Address ID
IL616360001PE221XXAVEX506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,390 HOSPITALIST in IL

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Provider Addresses for JAMALUDDIN F AMANULLAH (M.D.)

  • 2401, Broadway Street, Park Ridge Estates, Pekin, Tazewell County, Illinois, 61554, United States

    LOWER LEVEL

    PEKIN, IL 615543905

    Phone: (314) 971-5717

    Fax: (309) 620-8751

    Mailing address matches the actual address.

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: 2011-08-02

PECOS data refreshed: 2026-05-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110802000270IHospitalistILTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes242232$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3434$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 61554)

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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: 1355259714View full group profile

Reviews

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Frequently asked questions

Does JAMALUDDIN F AMANULLAH (M.D.) have a public NPI I can cite?
Public records show JAMALUDDIN F AMANULLAH (M.D.) under NPI 1184673147.
Is JAMALUDDIN F AMANULLAH (M.D.)'s NPI status active today?
Active status means JAMALUDDIN F AMANULLAH (M.D.)'s NPI record is not deactivated in the public file.
How should patients interpret JAMALUDDIN F AMANULLAH (M.D.)'s specialty?
The extract shows Internal Medicine Physician for JAMALUDDIN F AMANULLAH (M.D.). Clinical services aligned with this taxonomy classification.
Is JAMALUDDIN F AMANULLAH (M.D.) tied to Pekin, Illinois?
If you are local to Pekin, Illinois, JAMALUDDIN F AMANULLAH (M.D.) may be relevant to your search.
Can I export JAMALUDDIN F AMANULLAH (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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