Mohammed S Afzal, M.D.
Individual provider Active NPI Neurology Physician · Rockford, IL
NPI 1891767224 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1891767224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 036110957 (IL)
- Practice address
- 4920 E State St
Rockford, IL 61108-2272 - Phone
- (815) 226-1906
- Fax
- (815) 226-8474
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4920 E State St
Rockford, IL 61108-2262
4920 E State St
Rockford, IL 61108-2272
Phone (815) 226-1906
Hospital & facility affiliations
- Uw Health
- Saint Anthony Medical Center
- Rochelle Community Hospital
- CGH Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20041122000426 | IL | Practitioner - Neurology | 7911962758 |
Reassigns benefits to 1 organization Practice locations: Rockford, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110957 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Department of Human Services | Current | Accepting new patients | |
| Illinois Department of Human Services | Current |
Accepting new patients | |
| Illinois Department of Human Services | Current |
Accepting new patients | |
| Mohammed S Afzal | Neurology | Past |
Accepting new patients |
Locations
1120 Washington Ave
Dixon, IL 61021
Phone (815) 288-8300
100 S Grand Ave E
Springfield, IL 62762
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036110957 | IL | Yes |
Addresses
Primary practice location
4920 E State St
Rockford, IL 61108-2272
Mailing address
4920 E State St
Rockford, IL 61108-2272
Phone (815) 226-1906
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036110957 | Medicaid | IL |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. 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.