MOHAMMED J MOHIUDDIN (M.D.) – Anesthesiology Physician, NPI 1417945379

MOHAMMED J MOHIUDDIN (M.D.) is a healthcare provider. based in Loves park, Illinois. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. 43730020 (WI). The NPI Number for MOHAMMED J MOHIUDDIN (M.D.) is 1417945379

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMED J MOHIUDDIN (M.D.)
NPI
1417945379
Phone
(815) 877-4848
Address
2202 HARLEM ROAD
Enumeration Date
13 October 2005
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159684400
Graduation Year
1991 (35 years ago)
PAC ID
3971515446
Group Practice PAC ID
5597668004
Professional Enrollment ID
I20190319000969
Address ID
IL611042315RO1401XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:20State licenses:2Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for MOHAMMED J MOHIUDDIN (M.D.)

  • 2202 HARLEM ROAD

    LOVES PARK, IL 611112754

    Phone: (815) 877-4848

    Fax: (815) 654-5342

    Type: Mailing

  • 3005, South Riverside Drive, Town of Beloit, Rock County, Wisconsin, 53511, United States

    #206

    BELOIT, WI 535111500

    Phone: (608) 362-7444

    Fax: (608) 362-0417

    Type: Mailing

  • Beloit Memorial Hospital, 1969, West Hart Road, City of Beloit, Rock County, Wisconsin, 53511, United States

    BELOIT MEMORIAL HOSPITAL

    BELOIT, WI 535112230

    Phone: (608) 362-7444

    Fax: (608) 362-0417

    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: 2019-03-19

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
I20110127001153IAnesthesiologyWITBD
I20190319000969IAnesthesiologyILTBD

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
00142Anesthesia for lens surgery12099$0
00811Anesthesia for other procedure on large bowel using an endoscope3030$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
00813Anesthesia for procedure on small and large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 61111)

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Provider's Procedures

MOHAMMED J MOHIUDDIN (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYWI00142Anesthesia for lens surgery4139

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: 5597668004View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
-IL

Reviews

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Frequently asked questions

How is MOHAMMED J MOHIUDDIN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MOHAMMED J MOHIUDDIN (M.D.) with NPI 1417945379.
Is MOHAMMED J MOHIUDDIN (M.D.) listed as active for patients and plans?
The listing shows MOHAMMED J MOHIUDDIN (M.D.) as active in the NPI system.
What is MOHAMMED J MOHIUDDIN (M.D.) best known for clinically?
Directory data describes MOHAMMED J MOHIUDDIN (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does MOHAMMED J MOHIUDDIN (M.D.) list a practice location?
Patients near Loves Park, Illinois may find MOHAMMED J MOHIUDDIN (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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