IMAD M. AZIZ (MD) – Family Medicine Physician, NPI 1003256975
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IMAD M. AZIZ (MD)
3200 E Racine St
Janesville, WI 535462343
Phone: (608) 371-8000
Fax: (608) 371-8938
Type: Location
2825 Prairie Ave
Beloit, WI 535111844
Phone: (608) 363-5500
Fax: (608) 363-5539
Type: Location
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
486 RANDALL RD
SOUTH ELGIN, IL 601773353
Phone: (847) 468-1206
Type: Location
2825 PRAIRIE AVE
BELOIT, WI 535111844
Phone: (608) 363-5500
Fax: (608) 363-5539
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: 2023-04-26
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 |
|---|---|---|---|---|
| I20161025001324 | I | Family Practice | WI | TBD |
| I20230426002083 | I | Family Practice | IL | 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 53546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Nurse Practitioner | IL | |
| - | WI | |
| O P H T H A L M O L O G Y | IL | |
| - | WI | |
| - | IL | |
| - | WI | |
| Diagnostic Radiology | IL | |
| Nurse Practitioner | IL | |
| Hematology/Oncology, Internal Medicine | IL |
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