Syed Fahad Imam, MD - Medicare Nephrology in Galesburg, IL

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Syed Fahad Imam, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Galesburg, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Osf Multi-specialty Group, Renalcare Associates, S.c. and his current practice location is 765 N Kellogg St Ste 203, Galesburg, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 676-8123.

Syed Fahad Imam is licensed to practice in Illinois (license number 036-142852) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235455619.

Contact Information

Syed Fahad Imam, MD
765 N Kellogg St Ste 203,
Galesburg, IL 61401-2859
(309) 676-8123
(309) 676-8455

Map and Direction




Physician's Profile

Full NameSyed Fahad Imam
GenderMale
SpecialityNephrology
Experience19 Years
Location765 N Kellogg St Ste 203, Galesburg, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Syed Fahad Imam graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1235455619
  • Provider Enumeration Date: 04/11/2010
  • Last Update Date: 05/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991952947
  • Enrollment ID: I20170831003359

Medical Identifiers

Medical identifiers for Syed Fahad Imam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235455619NPI-NPPES
036142852MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036-142852 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - GalesburgGalesburg, ILDialysis facility
Fmc - MacombMacomb, ILDialysis facility
St Mary Medical CenterGalesburg, ILHospital
Mc Donough District HospitalMacomb, ILHospital
Osf Holy Family Medical CenterMonmouth, ILHospital
Osf Saint Lukes Medical CenterKewanee, ILHospital
Saint Francis Medical CenterPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891543
Renalcare Associates, S.c.701281834746

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. Syed Fahad Imam allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameRenalcare Associates, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649300377
PECOS PAC ID: 7012818347
Enrollment ID: O20040119000524
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Syed Fahad Imam 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 AddressPractice Location Address
Syed Fahad Imam, MD
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603-3112

Ph: (309) 676-8123		Syed Fahad Imam, MD
765 N Kellogg St Ste 203,
Galesburg, IL 61401-2859

Ph: (309) 676-8123

Reviews and Comments


Internal Medicine Doctors in Galesburg, IL

Dr. Parthasarathy Srinivasan, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 765 N Kellogg St Ste 203, Galesburg, IL 61401
Phone: 309-676-8123    Fax: 309-676-8455
Carl E Strauch, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 834 N Seminary St, 303, Galesburg, IL 61401
Phone: 309-342-9189    
Madan L Gupta, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 3315 N Seminary St, Galesburg, IL 61401
Phone: 309-344-1000    Fax: 309-344-1054
Mark A Meeker, D. O.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3315 N Seminary St, Galesburg, IL 61401
Phone: 309-344-1000    Fax: 309-344-1054
Dr. Afshin A Khaiser, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3315 N Seminary St, Galesburg, IL 61401
Phone: 309-344-1000    Fax: 309-344-2405
James H King, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 3315 N Seminary St, Galesburg, IL 61401
Phone: 309-344-1000    Fax: 309-344-1054

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.