NPIMap

Individual provider Active NPI

Waqas Ahmad, MD

  • Internal Medicine Physician
  • Rockford, IL
National Provider Identifier
1316300247
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036152963 Issued in IL
Practice address
5970 Churchview Dr
Rockford, IL 61107-2574
Phone
(815) 971-2000
Fax
(815) 971-9267
NPI assigned
Mar 29, 2016
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 036152963 IL Primary

Addresses

Primary practice location

5970 Churchview Dr
Rockford, IL 61107-2574

Mailing address

5970 Churchview Dr
Rockford, IL 61107-2574
Phone (815) 971-2000

Other practice location 1

1500 Oglethorpe Ave
Community Internal Medicine of Athens. Suite 200D
Athens, GA 30606-2179
Phone (706) 389-3875

Other identifiers 2

IdentifierTypeStateIssuer
1316300247MedicaidWI
036152963MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, IN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200519000468 IL Practitioner - Internal Medicine 8426341322 Reassigns benefits to 7 organizations
I20240129001198 WI Practitioner - Internal Medicine 8426341322 Reassigns benefits to 2 organizations
I20240620002940 IN Practitioner - Internal Medicine 8426341322 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medico SCGroup PAC ID 9133219827, 11 clinicians
MD @ Home Illinois, SCGroup PAC ID 7810167830, 53 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

1480 Renaissance Dr
Suite 211
Park Ridge, IL 60068-1353
Phone (847) 296-6161

2003 W Fulton St
Suite 303
Chicago, IL 60612-2345
Phone (312) 243-2223

7702 N Alpine Rd
Loves Park, IL 61111-3107
Phone (815) 971-2000

802 E 9TH St
Housecall Physicians of Illinois
Mishawaka, IN 46544-2314
Phone (312) 243-2223

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue711
Removal of skin lesions26
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince May 12, 2020 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Patel Family Medicine LLC CurrentSince Apr 19, 2024 Accepting new patients
Kidney Specialists of Illinois LLC CurrentSince Aug 1, 2023 Accepting new patients
Consonant Healing Associates of de LLC Internal Medicine CurrentSince Feb 16, 2026 Accepting new patients
United Wound Care Institute-Illinois Internal Medicine CurrentSince Aug 29, 2023 Accepting new patients
Senf NP Family Medicine PLLC Internal Medicine CurrentSince Feb 16, 2026 Accepting new patients
Nova Medico S.C. CurrentSince May 18, 2024 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

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

6374 N Lincoln Ave
Ste 201
Chicago, IL 60659
Phone (773) 501-6203

7702 N Alpine Rd
Loves Park, IL 61111
Phone (815) 971-3397

2020 Calamos Ct
Ste 250
Naperville, IL 60563

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

1480 Renaissance Dr
Ste 211
Park Ridge, IL 60068
Phone (847) 296-6161

2300 N Rockton Ave
Rockford, IL 61103

5970 Churchview Dr
Rockford, IL 61107
Phone (815) 971-8990

105 Water St
Plymouth, IN 46563
Phone (574) 540-2052

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13629/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wahmad69829@direct.mhemail.org
  • Direct secure messaging: waqas.ahmad.1@24172.direct.athenahealth.com

Organizations & group practices 12

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 7

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1316300247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 CHURCHVIEW DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072574",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 CHURCHVIEW DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611072574",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Oglethorpe Ave",
            "address_2": "Community Internal Medicine of Athens. Suite 200D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062179",
            "country_code": "US",
            "telephone_number": "706-389-3875",
            "fax_number": "706-389-3876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "WAQAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036152963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316300247",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036152963",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.