DR. FAWAZ AHMAD (MD, MS) – Internal Medicine Physician, NPI 1477786598
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
955 CRITICAL CARE (INTENSIVISTS) in IL
Provider Addresses for DR. FAWAZ AHMAD (MD, MS)
1875 DEMPSTER ST STE 625
PARK RIDGE, IL 600681137
Phone: (847) 723-4088
Type: Mailing
4201 W MEDICAL CENTER DR
MCHENRY, IL 600508409
Phone: (815) 759-4530
Fax: (815) 759-8053
Type: Mailing
747 BROADWAY
SEATTLE, WA 981224379
Phone: (206) 215-2520
Fax: (206) 215-6364
Type: Location
4201 W Medical Center Dr
McHenry, IL 600508409
Phone: (815) 759-4530
Fax: (815) 759-8053
Type: Location
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
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: 2021-12-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20120816000153 | I | Neurology | IL | TBD |
| I20160205000547 | I | Internal Medicine | AR | TBD |
| I20191018001274 | I | Critical Care (Intensivists) | CA | TBD |
| I20201215000210 | I | Neurology | SD | TBD |
| I20210420001013 | I | Internal Medicine | MI | TBD |
| I20211223000992 | I | Internal Medicine | WA | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 88 | 65 | $0 |
Insurance plans in this area (ZIP 60068)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROLOGY | IL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Vascular Surgery | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| C H I R O P R A C T I C | IL | |
| Family Practice | IL | |
| Physical Medicine And Rehabilitation | CO | |
| - | IL | |
| Hospitalist, Family Practice | IL |
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