Individual provider Active NPI

Syed M Mohiuddin, MD

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1144216243
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036055808 Issued in IL
Practice address
695 N Perryville Rd
Suite 4
Rockford, IL 61107-6225
Phone
(815) 227-9900
Fax
(815) 227-9805
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036055808 IL Primary
Family Medicine Physician 207Q00000X 14258-320 WI

Addresses

Primary practice location

695 N Perryville Rd
Suite 4
Rockford, IL 61107-6225

Mailing address

695 N Perryville Rd
Suite 4
Rockford, IL 61107-6225
Phone (815) 227-9900

Other practice location 1

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6868 ext. 46000

Other identifiers 1

IdentifierTypeStateIssuer
553180OtherILMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20041124000336 IL Practitioner - Family Practice 6305801747 Reassigns benefits to 2 organizations
I20251229000048 WI Practitioner - Family Practice 6305801747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000

Hospital & facility affiliations

  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036055808ILMDFamily Medicine Physician
14258-320WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jun 2, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Nov 5, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mercy Health System Corporation CurrentSince Nov 5, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2016 Accepting new patients
Neck to Back Rockford LLC Family Medicine Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients
Spinal Rehabilitation and Wellness Clinic, LLC Family Medicine Past Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

9951 Rock Cut Xing
Loves Park, IL 61111
Phone (815) 639-8450

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

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

6830 Villagreen Vw
Rockford, IL 61107
Phone (815) 282-1339

4423 Manchester Dr
Rockford, IL 61109
Phone (815) 226-0966

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: smohiuddin129045@direct.mhemail.org

Organizations & group practices 8

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 1

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1144216243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N PERRYVILLE RD",
            "address_2": "SUITE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076225",
            "telephone_number": "815-227-9900",
            "fax_number": "815-227-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N PERRYVILLE RD",
            "address_2": "SUITE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076225",
            "telephone_number": "815-227-9900",
            "fax_number": "815-227-9805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482940",
            "country_code": "US",
            "telephone_number": "608-756-6868 x46000",
            "fax_number": "608-756-6289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHIUDDIN",
        "first_name": "SYED",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055808",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "14258-320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "553180",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.