Individual provider Active NPI

Faheem Ahmad, MD

  • Family Medicine Physician
  • Poplar Grove, IL
National Provider Identifier
1225665607
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036162185 Issued in IL
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, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102000836 IL Practitioner - Family PracticePractitioner - Sports Medicine 7810364999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Saint Anthony Medical CenterGroup PAC ID 5496654006, 45 clinicians

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

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Sep 15, 2022 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Saint Anthony Medical Center CurrentSince Oct 30, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 5, 2024 Accepting new patients
Saint Anthony Medical Center CurrentSince Oct 30, 2024 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.