HUMZA SHAHID AZAM (DO) – Emergency Medicine Physician, NPI 1740576271
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for HUMZA SHAHID AZAM (DO)
2200 E Washington St
Bloomington, IL 617014364
Phone: (309) 665-5755
Type: Location
2200 E WASHINGTON ST
BLOOMINGTON, IL 617014364
Phone: (309) 665-5755
Type: Location
1010 RANCH ROAD 620 S STE 107
LAKEWAY, TX 787345638
Phone: (512) 233-4606
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: 2021-05-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170120002294 | I | Emergency Medicine | TX | TBD |
| I20210518000559 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| J3490 | Unclassified drugs | 898 | 40 | $0 |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 821 | 40 | $0 |
| 96375 | Injection of additional new drug or substance into vein | 788 | 40 | $0 |
| 96368 | Infusion into a vein for therapy, prevention, or diagnosis concurrent with another infusion | 457 | 40 | $0 |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 455 | 40 | $0 |
Insurance plans in this area (ZIP 61701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Emergency Medicine | TX | |
| Emergency Medicine | IL | |
| Emergency Medicine | TX | |
| - | LA | |
| - | CA | |
| Emergency Medicine | TX | |
| - | VA | |
| Emergency Medicine | OR | |
| Emergency Medicine | NE |
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