Individual provider Active NPI

Altaf Dawood, M.D.

  • Gastroenterology Physician
  • Rockford, IL
National Provider Identifier
1295034759
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
84848 Issued in WI
Practice address
2350 N Rockton Ave FL 3
Rockford, IL 61103-3600
Phone
(815) 971-5510
Fax
(815) 968-9453
NPI assigned
Mar 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15286 NV
Gastroenterology Physician 207RG0100X 1036979 PA
Gastroenterology Physician 207RG0100X 84848 WI Primary

Addresses

Primary practice location

2350 N Rockton Ave FL 3
Rockford, IL 61103-3600

Mailing address

29624 Network PL
Chicago, IL 60673-1296
Phone (608) 756-6278

Other practice location 1

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Other practice location 2

1000 Mineral Point Ave
Janesville, WI 53548-2982
Phone (608) 756-6868

Other practice location 3

2040 W Charleston Blvd
Ste 300
Las Vegas, NV 89102-2227
Phone (702) 671-2358

Other practice location 4

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-1000

Other identifiers 1

IdentifierTypeStateIssuer
100092458MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service Other Ability Network
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address adawood446806@direct.myadvocateaurora.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181121000317 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 9739307778 Reassigns benefits to 5 organizations
I20240910004317 IA Practitioner - Gastroenterology 9739307778 Reassigns benefits to 1 organization
I20241120002563 WI Practitioner - Internal Medicine 9739307778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

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

2222 53Rd Ave
Bettendorf, IA 52722-7546
Phone (563) 421-8900

2350 N Rockton Ave
Rockford, IL 61103-3600
Phone (815) 971-2000

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066
  • Aurora Medical Center - Summit Hospital, Summit, WI, CCN 520206
  • Mercy Walworth Hospital & Medical Center Hospital, Lake Geneva, WI, CCN 521357

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy85
Upper gastrointestinal (GI) endoscopy for acid reflux448

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15286NVMDPharmacist
1036979PAMDGastroenterology Physician
84848WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Aug 26, 2024 Accepting new patients
Genesis Health System Family Medicine CurrentSince Aug 26, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 1, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Aug 30, 2019 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 29, 2018 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Aurora Medical Group, Inc. Family Medicine CurrentSince Mar 1, 2026 Accepting new patients
The Board of Trustees of the University of Illinois Internal Medicine CurrentSince Aug 29, 2018 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 1, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1236 E Rusholme St
Ste 150
Davenport, IA 52803
Phone (563) 421-3990

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

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

840 S Wood St
#787
Chicago, IL 60612
Phone (312) 413-8687

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

7732 Solutions Ctr
Chicago, IL 60677

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2350 N Rockton Ave
Fl 3
Rockford, IL 61103
Phone (815) 971-5510

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

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

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

Interoperability endpoints

  • Direct secure messaging: adawood65248@direct.mhemail.org
  • Direct secure messaging: adawood446806@direct.myadvocateaurora.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1295034759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29624 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731296",
            "telephone_number": "608-756-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N ROCKTON AVE FL 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611033600",
            "telephone_number": "815-971-5510",
            "fax_number": "815-968-9453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 S Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "fax_number": "779-220-5184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Mineral Point Ave",
            "address_purpose": "LOCATION",
            "city": "Janesville",
            "state": "WI",
            "postal_code": "535482982",
            "country_code": "US",
            "telephone_number": "608-756-6868",
            "fax_number": "608-756-6289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 W Charleston Blvd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022227",
            "country_code": "US",
            "telephone_number": "702-671-2358",
            "fax_number": "702-671-2376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36500 Aurora Dr",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "WI",
            "postal_code": "530664899",
            "country_code": "US",
            "telephone_number": "262-434-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWOOD",
        "first_name": "ALTAF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-23",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "15286",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "1036979",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "84848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092458",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "36500 Aurora Dr",
            "city": "Summit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adawood446806@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "36500 Aurora Dr",
            "city": "Summit",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.