IDRIES ABDUR-RAHMAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1891727236

IDRIES ABDUR-RAHMAN (M.D.) is a healthcare provider. based in Ottawa, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 036114960 (IL). The NPI Number for IDRIES ABDUR-RAHMAN (M.D.) is 1891727236

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
IDRIES ABDUR-RAHMAN (M.D.)
NPI
1891727236
Phone
(815) 434-2229
Address
1300 STARFIRE DR
Enumeration Date
7 July 2006
Last Update Date
5 September 2012

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
3407130330
Graduation Year
2002 (24 years ago)
PAC ID
4688671332
Group Practice PAC ID
8729527049
Professional Enrollment ID
I20240223002043
Address ID
VI008205233CH4504XDIAM301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

Loading map...

Provider Addresses for IDRIES ABDUR-RAHMAN (M.D.)

  • 1300, Starfire Drive, Ottawa, LaSalle County, Illinois, 61350, United States

    SUITE B

    OTTAWA, IL 613501624

    Phone: (815) 434-2229

    Fax: (815) 434-4229

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $465.

Total Amount is formed as General ($465) + Research ($0) + Ownership ($0) = $465.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: ABBVIE INC. ($134).

Total Amount

$465

General + Research + Ownership

Payments

22

Total payment records

General Amount

$465

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20061023000367IObstetrics/GynecologyILTBD
I20240223002043IObstetrics/GynecologyVITBD
I20251217002533IObstetrics/GynecologyCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1611$0
View full utilization report →

Insurance plans in this area (ZIP 61350)

Loading plans...

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: 8729527049View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is IDRIES ABDUR-RAHMAN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists IDRIES ABDUR-RAHMAN (M.D.) with NPI 1891727236.
Does the file indicate IDRIES ABDUR-RAHMAN (M.D.) is practicing under active NPI?
Directory data currently reports IDRIES ABDUR-RAHMAN (M.D.) as active.
What is IDRIES ABDUR-RAHMAN (M.D.)'s specialty?
The listing groups IDRIES ABDUR-RAHMAN (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect IDRIES ABDUR-RAHMAN (M.D.) on a map?
Expect Ottawa, Illinois as a primary anchor for IDRIES ABDUR-RAHMAN (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MR. DOUGLAS N. TOUSSAINT (D.O.)

Obstetrics & Gynecology Physician
Joliet Junior College, 725, School Street, Morris, Grundy County, Illinois, 60450, United States
NPI: 1710984901
28555 Orchard Lake Rd
NPI: 1750327045

WOMENS HEALTHCARE PARTNERS OF ILLINOIS

Obstetrics & Gynecology Physician
1300, Starfire Drive, Ottawa, LaSalle County, Illinois, 61350, United States
NPI: 1326069949

DR. HARSHAVADAN J VYAS (M.D.)

Obstetrics & Gynecology Physician
1013, Clinton Street, Ottawa, LaSalle County, Illinois, 61350, United States
NPI: 1841391950

ILLINOIS VALLEY PRIMARY CARE, LTD

Internal Medicine Physician
1209, Starfire Drive, Ottawa, LaSalle County, Illinois, 61350, United States
NPI: 1851582928

VYAS HARSHAVADAN J MD

Obstetrics & Gynecology Physician
1013 CLINTON ST
NPI: 1114290244

DR. DE'SMOND MARQUISE HENRY (M.D.)

Student in an Organized Health Care Education/Training Program
11 Upper Riverdale Rd SW
NPI: 1528492923