DR. FAHEEM AHMAD (MD) – Family Medicine Physician, NPI 1225665607

DR. FAHEEM AHMAD (MD) is a healthcare provider. based in Poplar grove, Illinois. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 036162185 (IL). The NPI Number for DR. FAHEEM AHMAD (MD) is 1225665607

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. FAHEEM AHMAD (MD)
NPI
1225665607
Phone
(815) 765-0147
Address
13539 IL ROUTE 76
Enumeration Date
25 March 2020
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8156398500
Graduation Year
2015 (11 years ago)
PAC ID
7810364999
Group Practice PAC ID
5496654006
Professional Enrollment ID
I20221102000836
Address ID
IL611111999LO9951XXING402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:6State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. FAHEEM AHMAD (MD)

  • 13539 IL ROUTE 76

    POPLAR GROVE, IL 610658832

    Phone: (815) 765-0147

    Fax: (815) 765-0427

    Type: Mailing

  • JAVON BEA HOSPITAL -ROCKTON AVENUE

    2400 NORTH ROCKTON AVENUE

    ROCKFORD, IL 61103

    Phone: (815) 971-5000

    Type: Mailing

  • MERCYHEALTH JAVON BEA HOSPITAL

    8201 EAST RIVERSIDE BOULEVARD

    ROCKFORD, IL 61114

    Phone: (815) 971-5000

    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: 2022-11-02

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
I20221102000836IFamily PracticeILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 61065)

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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: 5496654006View full group profile
NameSpecialtyState
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
Family PracticeIL
Family PracticeIL
Internal MedicineIL
Physician AssistantIL
Family PracticeIL
Family PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I verify DR. FAHEEM AHMAD (MD) with an NPI only?
You can start verification with NPI 1225665607 for DR. FAHEEM AHMAD (MD), then check state licensing separately.
Can I rely on DR. FAHEEM AHMAD (MD) being an active provider?
As of the registry snapshot, DR. FAHEEM AHMAD (MD) is marked active.
What is DR. FAHEEM AHMAD (MD)'s specialty?
The listing groups DR. FAHEEM AHMAD (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. FAHEEM AHMAD (MD) serve?
DR. FAHEEM AHMAD (MD)'s listing highlights Poplar Grove, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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