MIR ISAAMULLAH – Interventional Pain Medicine Physician, NPI 1568090041
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 PAIN MANAGEMENT in IL
Provider Addresses for MIR ISAAMULLAH
9200 W WISCONSIN AVE # P347
MILWAUKEE, WI 532263522
Phone: (414) 805-6134
Type: Mailing
2902 MCFARLAND RD STE 100
ROCKFORD, IL 611076801
Phone: (815) 316-7300
Fax: (815) 316-3483
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $10,755.
Total Amount is formed as General ($10,755) + Research ($0) + Ownership ($0) = $10,755.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Boston Scientific Corporation ($10,224).
Total Amount
$10,755
General + Research + Ownership
Payments
10
Total payment records
General Amount
$10,755
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $10,224 |
| Medtronic, Inc. | $373 |
| Nevro Corp. | $158 |
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: 2025-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250716001908 | I | Pain Management | 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 53226)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology | IL | |
| Physical Medicine And Rehabilitation, Pain Management | NY | |
| Nurse Practitioner | IL | |
| Anesthesiology, Pain Management | IL | |
| Pain Management | IL |
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