Active NPI
Abdur Rahman Fuzail Ahmad
- Clinical Cardiac Electrophysiology Physician
- Pana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 036.159550
- Practice address
- 101 E 9TH St
Pana, IL 62557-1785 - Phone
- (217) 562-2131
- NPI assigned
- Jul 2, 2014
- Last updated
- Feb 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 67263 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | MD-49663 | IA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD-49663 | IA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036.159550 | IL | Primary |
Addresses
Primary practice location
101 E 9TH St
Pana, IL 62557-1785
Mailing address
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
Other practice location 1
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aahmad399521@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6111
238 S Congress St
Rushville, IL 62681-1465
Phone (217) 322-5296
619 E Mason St
4P57
Springfield, IL 62701-1034
Phone (217) 788-0706
800 E Carpenter St
Springfield, IL 62702-5324
Phone 217544646444399
800 School St
Carrollton, IL 62016-1436
Phone (217) 942-6946
Hospital & facility affiliations
- St Johns Hospital
- St Francis Hospital
- St Anthonys Memorial Hospital
- St Marys Hospital
- Pana Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67263 | WI | MD | Internal Medicine Physician |
| MD-49663 | IA | MD | Clinical Cardiac Electrophysiology Physician |
| 036.159550 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schuyler County Hospital District | Current | Accepting new patients | |
| Trinity Medical Center | Current | Accepting new patients | |
| Associated Pathologists LTD | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Schuyler County Hospital District | Current | Accepting new patients | |
| St Johns Hospital of the Hospital Sisters of the Third Order of St F | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Internal Medicine | Current | Accepting new patients |
| Trinity Medical Center | Internal Medicine | Current | Accepting new patients |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Thomas H. Boyd Memorial Hospital | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Cardiovascular Medicine PLLC | Cardiovascular Disease | Current | Accepting new patients |
| Prairie Cardiovascular Consultants LTD | Cardiovascular Disease | Current | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Past | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Sacred Heart Rehabilitation Institute, Inc. | Past | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
619 5th St
Durant, IA 52747
Phone (563) 785-4487
800 School St
Carrollton, IL 62016
Phone (217) 942-3600
1770 E Lake Shore Dr
Ste 105
Decatur, IL 62521
Phone (217) 329-1000
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
619 E Mason St
Springfield, IL 62701
Phone (217) 545-7600
619 E Mason St
#4P57
Springfield, IL 62701
619 E Mason St
Ste 4
Springfield, IL 62701
619 E Mason St
Ste 4P57
Springfield, IL 62701
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
Interoperability endpoints
- aahmad399521@ewd.direct.hshs.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1982714218
Cardiovascular Disease
-
- Critical Access Hospital
- Rushville, IL
- NPI 1013969112
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1184606923
-
- Critical Access Hospital
- Carrollton, IL
- NPI 1811096811
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
Internal Medicine
-
- Cardiovascular Disease Physician
- Davenport, IA
- NPI 1982632907
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Genesis Convenient Care Bettendorf
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
dba St Marys Hospital
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1053727776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "619 E MASON ST STE 4P57",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627011034",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 9TH ST",
"city": "PANA",
"state": "IL",
"postal_code": "625571785",
"telephone_number": "217-562-2131"
}
],
"practiceLocations": [
{
"address_1": "619 E Mason St Ste 4P57",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627011034",
"country_code": "US",
"telephone_number": "217-788-0706",
"fax_number": "217-525-2535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHMAD",
"first_name": "ABDUR RAHMAN FUZAIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-02",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "67263",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "MD-49663",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IA",
"license": "MD-49663",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036.159550",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aahmad399521@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "619 E Mason St Ste 4P57",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627011034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.