| Dr Faheem Ahmad, MD | |
|
13539 Il Route 76, Poplar Grove, IL 61065-8832 | |
| (815) 765-0147 | |
| (815) 765-0427 |
| Full Name | Dr Faheem Ahmad |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 13539 Il Route 76, Poplar Grove, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225665607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036162185 (Illinois) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | 036162185 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Saint Anthony Medical Center | 5496654006 | 39 |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Saint Anthony Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942248802 PECOS PAC ID: 5496654006 Enrollment ID: O20040102000555 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Faheem Ahmad, MD 13539 Il Route 76, Poplar Grove, IL 61065-8832 Ph: (815) 765-0147 | Dr Faheem Ahmad, MD 13539 Il Route 76, Poplar Grove, IL 61065-8832 Ph: (815) 765-0147 |
Bernard Edward O'malley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13539 Il Route 76, Poplar Grove, IL 61065 Phone: 815-765-0147 Fax: 815-765-0427 | |
Dr. William M Bitsas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Maple Leaf Ln, Poplar Grove, IL 61065 Phone: 541-720-2746 | |
Troy Michael Doetch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Candlewick Dr Nw, Poplar Grove, IL 61065 Phone: 815-985-6929 |