Individual provider Active NPI

Abdur Rahman Fuzail Ahmad

  • Clinical Cardiac Electrophysiology Physician
  • Pana, IL
National Provider Identifier
1053727776
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036.159550 Issued in IL
Practice address
101 E 9TH St
Pana, IL 62557-1785
Phone
(217) 562-2131
NPI assigned
Jul 2, 2014
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address aahmad399521@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220622000433 IA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 2961751714 Reassigns benefits to 3 organizations
I20230302002813 IL Practitioner - Cardiovascular Disease (Cardiology) 2961751714 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Hillsboro Area Hospital, Inc.Group PAC ID 4486547148, 37 clinicians
Thomas H Boyd Memorial HospitalGroup PAC ID 8123085560, 30 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67263WIMDInternal Medicine Physician
MD-49663IAMDClinical Cardiac Electrophysiology Physician
036.159550ILMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Hospital District CurrentSince Jul 24, 2023 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 CurrentSince Sep 1, 2025 Accepting new patients
Schuyler County Hospital District CurrentSince Jul 24, 2023 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Sep 1, 2025 Accepting new patients
Genesis Health System CurrentSince May 27, 2023 Accepting new patients
Genesis Health System Internal Medicine Current Accepting new patients
Trinity Medical Center Internal Medicine CurrentSince Oct 25, 2022 Accepting new patients
Pana Community Hospital Association CurrentSince Jun 3, 2023 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2022 Accepting new patients
Thomas H. Boyd Memorial Hospital Current Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Feb 1, 2024 Accepting new patients
Pana Community Hospital Association CurrentSince Jun 3, 2023 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2022 Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease CurrentSince Jul 24, 2023 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Hillsboro Area Hospital, Inc. Past Accepting new patients
HSHS Medical Group Inc PastSince Jul 24, 2023 Accepting new patients
Sacred Heart Rehabilitation Institute, Inc. PastSince Jun 21, 2022 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

  • Direct secure messaging: aahmad399521@ewd.direct.hshs.org
  • FHIR API: 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.

View all 23

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.