ABDUR RAHMAN FUZAIL AHMAD
NPI 1053727776
Internal Medicine - Clinical Cardiac Electrophysiology in Pana, IL

Q: What is Abdur Rahman Fuzail Ahmad's NPI number?

The NPI number for Abdur Rahman Fuzail Ahmad is 1053727776. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Q: What is Abdur Rahman Fuzail Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Active since July 02, 2014PECOS Enrolled

101 E 9TH ST, PANA, IL 62557(217) 562-2131 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2023, Jul 6, 2022, Sep 5, 2018 (3 updates tracked since 2018).

On this page

About Abdur Rahman Fuzail Ahmad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABDUR RAHMAN FUZAIL AHMAD (NPI 1053727776) is an individual clinical cardiac electrophysiology provider in Pana, Illinois, licensed in Illinois (036.159550) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1053727776

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameABDUR RAHMAN FUZAIL AHMAD

Location Address101 E 9TH STPana, IL 62557-1785

Mailing Address619 E Mason St Ste 4p57Springfield, IL 62701-1034 · (217) 788-0706 · Fax (217) 525-2535

Phone(217) 562-2131

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 2, 2014

Last NPPES UpdateFebruary 10, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1053727776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

Licenses✔ Licensed in IL · 036.159550✔ Licensed in IA · MD-49663

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal MedicineTaxonomy 207R00000X · License 67263 (WI)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD-49663 (IA)

101 E 9TH ST, Pana, IL 62557

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Secondary Practice Location 1

Location 1619 E Mason St Ste 4P57Springfield, IL 62701-1034 · Phone (217) 788-0706 · Fax (217) 525-2535

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abdur Rahman Fuzail Ahmad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961751714

PECOS Enrollment IDI20230302002813

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Abdur Rahman Fuzail Ahmad reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pana Community Hospital Association

Same address

Multi-Specialty

101 E 9TH ST
Pana, IL 62557

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1942326970 (Illinois)
98 clinicians in this Medicare group

NPI 1619215860 (217) 562-6246

Hillsboro Area Hospital, Inc.

26 mi

Rural Health

1220 E TREMONT ST FRNT A
Hillsboro, IL 62049

Reassigned Medicare billing, Illinois enrollment
59 clinicians in this Medicare group

NPI 1811774771 (217) 532-6111

St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F

42 mi

General Acute Care Hospital

800 EAST CARPENTER
Springfield, IL 62769

Reassigned Medicare billing, Illinois enrollment
53 clinicians in this Medicare group

NPI 1184606923 (217) 544-6464

Prairie Cardiovascular Consultants Ltd

42 mi

Multi-Specialty

3051 HOLLIS DR FL 2
Springfield, IL 62704

Reassigned Medicare billing, Illinois enrollment
101 clinicians in this Medicare group

NPI 1982714218 (217) 492-9695

Thomas H. Boyd Memorial Hospital

71 mi

Critical Access

800 SCHOOL ST
Carrollton, IL 62016

Reassigned Medicare billing, Illinois enrollment
22 clinicians in this Medicare group

NPI 1811096811 (217) 942-6946

Schuyler County Hospital District

94 mi

Critical Access

238 S CONGRESS ST
Rushville, IL 62681

Reassigned Medicare billing, Illinois enrollment
111 clinicians in this Medicare group

NPI 1013969112 (217) 322-4321

Genesis Health System

162 mi

General Acute Care Hospital

801 ILLINI DR
Silvis, IL 61282

Reassigned Medicare billing, Illinois enrollment
198 clinicians in this Medicare group

NPI 1427132604 (309) 281-4000

Trinity Medical Center

165 mi

Emergency Medicine

2701 17TH ST
Rock Island, IL 61201

Reassigned Medicare billing, Iowa and Illinois enrollments
138 clinicians in this Medicare group

NPI 1568414134 (309) 779-5000

Genesis Health System

167 mi

Hospice Care, Community Based

2546 TECH DR
Bettendorf, IA 52722

Reassigned Medicare billing, Iowa enrollment
300 clinicians in this Medicare group

NPI 1013968262 (563) 421-5400

Cardiovascular Medicine PLLC

168 mi

Cardiovascular Disease

1236 E. RUSHOLME STREET, SUITE 300
Davenport, IA 52803

Reassigned Medicare billing, Iowa enrollment
55 clinicians in this Medicare group

NPI 1982632907 (563) 324-2992

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 38

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

1,060 services516 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

936 services665 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

927 services660 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

715 services347 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

528 services426 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

436 services92 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

380 services324 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

361 services224 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

352 services168 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

243 services210 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

236 services205 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

165 services95 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

157 services125 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

115 services104 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

110 services57 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

81 services80 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

80 services78 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

73 services59 patients

Programming of cardiac rhythm monitor system 93285

Programming of a cardiac rhythm monitor system involves setting up a device to track your heart's activity. This helps identify irregular heartbeats or rhythms. The data collected assists your healthcare team in making accurate treatment decisions.

69 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

58 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

57 services57 patients

Programming of multiple lead pacemaker system 93281

Programming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.

52 services38 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

47 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

45 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services43 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

32 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

32 services32 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

25 services25 patients

Programming of single lead pacemaker system 93279

Programming of a single lead pacemaker system involves adjusting the pacemaker's settings to suit your heart's unique needs. This is done using a special device that communicates with the pacemaker, ensuring it helps your heart beat at an optimal rate.

24 services15 patients

Insertion of left lower heart electrode for pacemaker or defibrillator 33225

The procedure involves placing a small electrode in your left lower heart region. This electrode is part of a pacemaker or defibrillator, devices that help regulate your heart rhythm. It's done under local anesthesia, and you may feel mild discomfort.

23 services23 patients

Programming of single lead implantable defibrillator system 93282

Programming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.

20 services16 patients

Insertion of implantable defibrillator system 33249

The insertion of an implantable defibrillator system is a procedure to manage irregular heart rhythms. A small device is placed under your skin, which monitors your heart rate. If it detects an abnormal rhythm, it sends an electrical pulse to restore normal heartbeat.

18 services18 patients

Insertion of heart rhythm monitor under skin 33285

The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.

17 services17 patients

Insertion of catheters and destruction of tissue to treat abnormal heart rhythm 93655

This procedure involves placing small tubes (catheters) into your heart via a blood vessel. These catheters emit energy that corrects irregular heartbeats by eliminating the problematic heart tissue. It's a common, minimally invasive method to treat abnormal heart rhythms.

15 services14 patients

Removal and replacement of dual lead permanent pacemaker 33228

This procedure involves removing an old dual lead pacemaker and replacing it with a new one. A pacemaker helps regulate your heart's rhythm. The dual lead model has two wires connecting to your heart to improve its electrical signaling. The replacement is done under local anesthesia.

14 services14 patients

Programming of heart rhythm stimulation after drug infusion 93623

Programming of heart rhythm stimulation after drug infusion is a process to regulate your heartbeat. After a medication is administered into your body, a device is programmed to monitor and correct irregular heart rhythms, ensuring your heart functions optimally.

12 services12 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate) 93653

This procedure is a detailed study of your heart's electrical activity. A thin tube (catheter) is inserted into your heart to identify and eliminate the area causing a fast heart rate. This helps restore normal heart rhythm, specifically targeting the upper chamber of the heart.

12 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Pana Community Hospital

Critical Access Hospitals · Pana, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141341

Location101 E Ninth StreetPana, IL 62557 · Christian County

Emergency services

St Francis Hospital

Critical Access Hospitals · Litchfield, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number141350

Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62557 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARRETT CLAXON PT, DPT

Physical Therapist

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-6328

JODI R SMITH PTA

Physical Therapy Assistant

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-6328

STACY J VAIL PTA

Physical Therapy Assistant

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-6328

PANA COMMUNITY HOSPITAL ASSOCIATION

Clinic/Center (Rural Health)

101 E 9TH ST, SUITE 105
PANA, IL 62557

Christian County (217) 562-2544

ALLISON LEANNE BEYERS FNP-C

Nurse Practitioner (Family)

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-2131

MR. MARLON TAN MUNESES MD

Family Medicine

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-2544

MS. LAURIE DOBRINICH LCSW

Social Worker (Clinical)

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-6246

BRYCE FORTNER PT, DPT

Physical Therapist

101 E 9TH ST
PANA, IL 62557

Christian County (217) 562-6238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abdur Rahman Fuzail Ahmad's NPI number?

The NPI number for Abdur Rahman Fuzail Ahmad is 1053727776. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Abdur Rahman Fuzail Ahmad located?

Abdur Rahman Fuzail Ahmad practices at 101 E 9th St, Pana, IL 62557. The listed phone number is (217) 562-2131.

What is Abdur Rahman Fuzail Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Abdur Rahman Fuzail Ahmad enrolled in Medicare?

Yes. Abdur Rahman Fuzail Ahmad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abdur Rahman Fuzail Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdur Rahman Fuzail Ahmad reassigns Medicare benefits to 10 organizations: Pana Community Hospital Association (Pana, IL), Hillsboro Area Hospital, Inc. (Hillsboro, IL), St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F (Springfield, IL), Prairie Cardiovascular Consultants Ltd (Springfield, IL), Thomas H. Boyd Memorial Hospital (Carrollton, IL) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdur Rahman Fuzail Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdur Rahman Fuzail Ahmad accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Medica, Oscar Health and Oscar Insurance Company list Abdur Rahman Fuzail Ahmad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abdur Rahman Fuzail Ahmad affiliated with any hospitals?

According to CMS data, Abdur Rahman Fuzail Ahmad is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, St Marys Hospital, Pana Community Hospital and St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Abdur Rahman Fuzail Ahmad was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.