Pushpa K Mamtani, MD in Rockford, IL

Pushpa K Mamtani, MD is a medicare enrolled "Pediatrics" physician in Rockford, Illinois. Her current practice location is 5666 E State St, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 226-2000.

Pushpa K Mamtani is licensed to practice in Illinois (license number 36 064091) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376527168.

Contact Information

	Pushpa K Mamtani, MD
	5666 E State St, Rockford, IL 61108-2425
	(815) 226-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Pushpa K Mamtani
Gender	Female
Speciality	Pediatrics
Location	5666 E State St, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376527168
Provider Enumeration Date: 12/05/2005
Last Update Date: 03/05/2025

Medicare PECOS Information:

PECOS PAC ID: 9032160395
Enrollment ID: I20050203000349

Medical Identifiers

Medical identifiers for Pushpa K Mamtani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376527168	NPI	-	NPPES
01932040	Other	IL	BCBS
036064091	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301503653 (Michigan)	Secondary
208000000X	Pediatrics	36 064091 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pushpa K Mamtani allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pushpa K Mamtani is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Pushpa K Mamtani, MD 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 226-2000	Pushpa K Mamtani, MD 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 226-2000

Reviews and Comments

Pediatrics Doctors in Rockford, IL

Dr. Karen J Dyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400
Dr. Thomas Danko, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4400
Dr. Gary Patrick Fernando, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600
Kimberly Remedios-smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-5000 Fax: 815-968-5742
Dr. Errol Christopher Baptist, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Suite # 4, Rockford, IL 61107 Phone: 779-696-5570
Patricia L. Moody, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2780 Mcfarland Rd, Rockford, IL 61107 Phone: 815-971-2000 Fax: 815-637-0400
Dr. Gail Sharon Haiken, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5303 Regents Park Rd, Rockford, IL 61107 Phone: 815-397-2528

Pushpa K Mamtani, MD - Medicare Pediatrics in Rockford, IL