Active NPI
Faheem Ahmad, MD
- Family Medicine Physician
- Poplar Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036162185
- Practice address
- 13539 Il Route 76
Poplar Grove, IL 61065-8832 - Phone
- (815) 765-0147
- Fax
- (815) 765-0427
- NPI assigned
- Mar 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036162185 | IL | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036162185 | IL |
Addresses
Primary practice location
13539 Il Route 76
Poplar Grove, IL 61065-8832
Mailing address
13539 Il Route 76
Poplar Grove, IL 61065-8832
Phone (815) 765-0147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
9951 Rock Cut Xing
Suite 200300
Loves Park, IL 61111-1999
Phone (815) 639-8500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| RMH Pathologists, LTD | Current | Accepting new patients | |
| Saint Anthony Medical Center | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Saint Anthony Medical Center | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
13539 State Route 76
Poplar Grove, IL 61065
Phone (815) 765-0147
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
3401 N Perryville Rd
Rockford, IL 61114
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba OSF Saint Anthony Medical Center
- Hematology & Oncology Physician
- Rockford, IL
- NPI 1942248802
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Anatomic Pathology Physician
- Rockford, IL
- NPI 1184671992
-
dba OSF Healthcare - Medical Group - Rock Cut
- Rural Health Clinic/Center
- Loves Park, IL
- NPI 1558067975
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Anthony Med. Ctr for Home Care
- Home Health Agency
- Loves Park, IL
- NPI 1023051992
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1225665607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13539 IL ROUTE 76",
"city": "POPLAR GROVE",
"state": "IL",
"postal_code": "610658832",
"telephone_number": "815-765-0147",
"fax_number": "815-765-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13539 IL ROUTE 76",
"city": "POPLAR GROVE",
"state": "IL",
"postal_code": "610658832",
"telephone_number": "815-765-0147",
"fax_number": "815-765-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "FAHEEM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036162185",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036162185",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Grove, 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.