NPIMap

Individual provider Active NPI

Ahmed Soukat Ali, MD

  • Hospitalist Physician
  • Rockford, IL
National Provider Identifier
1962029199
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036.164942 Issued in IL
Practice address
1401 E State St
Rockford, IL 61104-2298
Phone
(779) 696-4400
Fax
(315) 464-3751
NPI assigned
Jul 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.164942 IL
Hospitalist Physician 208M00000X 036.164942 IL Primary

Addresses

Primary practice location

1401 E State St
Rockford, IL 61104-2298

Mailing address

1401 E State St
Rockford, IL 61104-2298
Phone (779) 696-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919001063 IL Practitioner - Internal Medicine 6507220985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Hospitalist Group LLC 41 clinicians
Deaconess Illinois Specialty Clinic, Inc. 145 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324
  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.164942ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Feb 11, 2026 Accepting new patients
Rockford Hospitalist Group, LLC Hospitalist CurrentSince Jul 25, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Hospitalist CurrentSince Feb 11, 2026 Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

1625 S State St
Belvidere, IL 61008
Phone (815) 544-1846

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1593820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1962029199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042298",
            "telephone_number": "779-696-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042298",
            "telephone_number": "779-696-4400",
            "fax_number": "315-464-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUKAT ALI",
        "first_name": "AHMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-04",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.164942",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.164942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.