NPIMap

Waseem Ahmad, MD

Individual provider Active NPI Neurology Physician · Davenport, IA

NPI 1124063375 · NPPES record last updated Oct 11, 2016

Key facts

NPI
1124063375
Entity type
Individual (NPI type 1)
Primary specialty
Neurology Physician 2084N0400X
License
37648 (IA)
Practice address
1351 W Central Park Ave
Pavilion 2, Ste 3300
Davenport, IA 52804-1853
Phone
(563) 421-0430
Fax
(563) 421-0439
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Neurology
Also: Sleep Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLC (50 clinicians)
Osf Multi-Specialty Group (2,123 clinicians)
Morrison Community Hospital District (40 clinicians)
Hammond Henry Dist Hospital (41 clinicians)

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

1302 Woodland LN
Waseem Ahmad MD
Le Claire, IA 52753-9363
Phone (309) 308-9692

210 W Elk St
Geneseo, IL 61254-1067
Phone (309) 944-4625

303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003

403 E 1St St
Dixon, IL 61021-3116
Phone (815) 288-5531

600 N College Ave
Geneseo, IL 61254-1007

657 W Lincolnway
Morrison, IL 61270-2056
Phone (815) 772-5567

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Morrison Community Hospital Hospital · Morrison, IL · CCN 141329
  • Osf Saint Katharine Medical Center Hospital · Dixon, IL · CCN 140012
  • Hammond Henry Hospital Hospital · Geneseo, IL · CCN 141319

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100 (group)
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100 (group)
Quality
60.49
Promoting interoperability
100
Improvement activities
40
Cost
77.11

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060720000302 IL Practitioner - Neurology
Practitioner - Sleep Medicine		 8527071398 Reassigns benefits to 7 organizations
I20110512000684 IA Practitioner - Neurology 8527071398 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37648IAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Henry Dist Hospital Current
since Jul 1, 2024		 Accepting new patients
Osf Multi-Specialty Group Current
since Dec 16, 2024		 Accepting new patients
Morrison Community Hospital District Current Accepting new patients
Katherine Shaw Bethea Hospital Current
since Jul 1, 2023		 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Morrison Community Hospital District Current
since Oct 19, 2017		 Accepting new patients
Cardiovascular Medicine PLLC Current
since Nov 12, 2023		 Accepting new patients
Morrison Community Hospital District Current
since Oct 19, 2017		 Accepting new patients
KSB Medical Group, Inc. Current
since Jan 7, 2019		 Accepting new patients
Hammond Henry Dist Hospital Current Accepting new patients
Hammond Henry Dist Hospital Current
since Jul 1, 2024		 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

619 5th St
Durant, IA 52747
Phone (563) 785-4487

215 E 1st St
Dixon, IL 61021
Phone (815) 285-5591

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

1258 W South St
Ste 2
Kewanee, IL 61443

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

Interoperability endpoints

  • Direct secure messaging: waseem.ahmad.p1@direct.cvmedpc.nextgenshare.com
  • Direct secure messaging: waseemahmad@mchospital.medalliesdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wahmad@mchstaff.securechart.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036116005 IL
Neurology Physician 2084N0400X 37648 IA Yes

Addresses

Primary practice location

1351 W Central Park Ave
Pavilion 2, Ste 3300
Davenport, IA 52804-1853

Mailing address

1351 W Central Park Ave
Pavilion 2, Ste 3300
Davenport, IA 52804-1853
Phone (563) 421-0430

Other identifiers

IdentifierTypeStateIssuer
036116005MedicaidIL
P00320125OtherILRR MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 11, 2016.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1124063375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "PAVILION 2, STE 3300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853",
            "telephone_number": "563-421-0430",
            "fax_number": "563-421-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "PAVILION 2, STE 3300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853",
            "telephone_number": "563-421-0430",
            "fax_number": "563-421-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "WASEEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036116005",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "37648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00320125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

All providers in Davenport, IA · Neurology Physician in Iowa

Sources for this page

Verify at the official NPI Registry.