Adnan Mushtaq, M.D.
Individual provider Active NPI Infectious Disease Physician · Quincy, IL
NPI 1467409284 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1467409284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 036-115381 (IL)
- Practice address
- 1005 Broadway St
Quincy, IL 62301-2834 - Phone
- (217) 223-8400
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Infectious Disease
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Blessing Hospital
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
408 Stockton Dr
Southlake, TX 76092-2228
Phone (217) 224-6423
Hospital & facility affiliations
- Blessing Hospital
- MC Donough District Hospital
- Illini Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060925000068 | IL | Practitioner - Infectious Disease |
8820093925 | Reassigns benefits to 1 organization |
| I20180214002726 | TX | Practitioner - Infectious Disease | 8820093925 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-115381 | IL | MD | Infectious Disease Physician |
| R4603 | TX | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Blessing Hospital | Current |
Accepting new patients | |
| Blessing Hospital | Past | Accepting new patients |
Locations
2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222
1005 Broadway St
Quincy, IL 62301
927 Broadway St
Ste 106
Quincy, IL 62301
Interoperability endpoints
- adnanmushtaq@bcs.allscriptsdirect.net
- https://fhir.blessinghospital.com/R4/open-Prod
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | R4603 | TX | |
| Infectious Disease Physician | 207RI0200X | 2016043819 | MO | |
| Infectious Disease Physician | 207RI0200X | 036-115381 | IL | Yes |
Addresses
Primary practice location
1005 Broadway St
Quincy, IL 62301-2834
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036115381 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Other providers in Quincy, IL
- Merle Henry Muller
- Maha Mumtaz
- Lori Ann Murphy
- Tracy Douglas Murphy
- Carolyn Musholt
- Michael R. Mustard
- Wayland J Mutter
- Arshad R Muzaffar
- Cheyenne Noelle Myers
- Kirsten V Myers Sr.
All providers in Quincy, IL · Infectious Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.