MISBAHUDDIN AHMED (MD) – Medical Oncology Physician, NPI 1922117811

MISBAHUDDIN AHMED (MD) is a healthcare provider. based in Lombard, Illinois. specializing in Medical Oncology Physician. They hold the professional credentials MD. They hold a License No. 036052209 (IL). The NPI Number for MISBAHUDDIN AHMED (MD) is 1922117811

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
MISBAHUDDIN AHMED (MD)
NPI
1922117811
Phone
(815) 549-6551
Address
1056 SWIFT RD
Enumeration Date
30 August 2006
Last Update Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1972 (54 years ago)
PAC ID
2466588421
Professional Enrollment ID
I20100329000903
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MISBAHUDDIN AHMED (MD)

  • 1056 SWIFT RD

    LOMBARD, IL 601481670

    Phone: (815) 549-6551

    Fax: (888) 996-2325

    Type: Mailing

  • 555, West Court Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 200

    KANKAKEE, IL 609013664

    Phone: (815) 935-2525

    Fax: (815) 935-1010

    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: 2010-03-29

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
I20100329000903IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60148)

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Reviews

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Frequently asked questions

What NPI should I save for MISBAHUDDIN AHMED (MD)?
Save NPI 1922117811 if you need a stable reference for MISBAHUDDIN AHMED (MD).
Is MISBAHUDDIN AHMED (MD) active in the national directory?
MISBAHUDDIN AHMED (MD)'s public NPI profile is in an active state.
Does MISBAHUDDIN AHMED (MD) list a primary specialty?
If you are matching referrals, note Medical Oncology Physician for MISBAHUDDIN AHMED (MD). Clinical services aligned with this taxonomy classification.
Does MISBAHUDDIN AHMED (MD) practice in Illinois?
You will see Lombard, Illinois on file for MISBAHUDDIN AHMED (MD) alongside any extra practice locations.
What if Lombard, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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