DR. AZEEM S PASHA (M.D.) – Emergency Medicine Physician, NPI 1619915147
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 EMERGENCY MEDICINE in IN
Provider Addresses for DR. AZEEM S PASHA (M.D.)
102 E Culver Rd
Knox, IN 465342216
Phone: (574) 772-6231
Fax: (574) 772-2885
Type: Location
901 Grant St
Harvard, IL 600331821
Phone: (815) 943-5431
Type: Location
875 S. Route 31
Crystal Lake, IL 60014
Phone: (779) 220-5500
Type: Location
922 E Call St
Starke, FL 320913616
Phone: (904) 368-2300
Fax: (904) 368-2306
Type: Location
Chase Tower, 111, East Wisconsin Avenue, East Town, Milwaukee, Milwaukee County, Wisconsin, 53202, United States
MILWAUKEE, WI 532024815
Phone: (414) 290-6720
Fax: (414) 290-6755
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: 2019-07-16
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 |
|---|---|---|---|---|
| I20070907000417 | I | Emergency Medicine | IL | TBD |
| I20190716002398 | I | Emergency Medicine | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46534)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physician Assistant | MO | |
| - | IL |
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