Mir Isaamullah

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

036.174735 Issued in IL

Practice address

2902 McFarland Rd Ste 100
Rockford, IL 61107-6801

Phone

(815) 316-7300

Fax

(815) 316-3483

NPI assigned

Mar 30, 2020

Last updated

Aug 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rockford Pain Center LTDGroup PAC ID 1658403357, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CGH Medical Center Hospital, Sterling, IL, CCN 140043
• Saint Anthony Medical Center Hospital, Rockford, IL, CCN 140233
• Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
• Uw Health Hospital, Rockford, IL, CCN 140228
• Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACJGBD
• FHIR API: https://fhir4.healow.com/fhir/r4/ACJGBD/Endpoint/ACJGBD
• Direct secure messaging: misaamullah387224@direct.froedtert.com

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.

• Rockford Pain Center LTD

  • Pain Medicine (Anesthesiology) Physician
  • Rockford, IL
  • NPI 1689991713
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Care Compare affiliation
• Javon Bea Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1629118609
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439
  Care Compare affiliation
• Saint Anthony Medical Center

  dba OSF Saint Anthony Medical Center

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1790739977
  Care Compare affiliation
• Swedishamerican Hospital

  • General Acute Care Hospital
  • Rockford, IL
  • NPI 1760542732
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1568090041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE # P347",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 MCFARLAND RD STE 100",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611076801",
            "telephone_number": "815-316-7300",
            "fax_number": "815-316-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAAMULLAH",
        "first_name": "MIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "IL",
            "license": "036.174735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Irfan, M.D.
• Krista Lea Irmeger, AUD
• Mary Jo Ironside, MD
• Jennis Uzoamaka Iruke, MD
• Emilee Irvin, LMT
• Isr Enterprises, Inc. (Senior Helpers of Rockford)
• Patricia I. Ittmann, DO
• Monica Elise Iverson, MS, CADC QMHP
• Lauren A Ives, M.D.
• Steven C Ives Sr., DDS

• Interventional Pain Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Interventional Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.

Verify at the official NPI Registry.