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UMBER AHMAD DO
NPI 1083957153
Internal Medicine - Rheumatology in Mchenry, IL

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
4119 W SHAMROCK LN, MCHENRY, IL 60050(815) 398-9491(815) 381-7498 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2023, Jul 15, 2021, Jan 11, 2021 (3 updates tracked since 2021).

About Umber Ahmad Do NPPES

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

UMBER AHMAD DO (NPI 1083957153) is an individual rheumatology provider in Mchenry, Illinois, licensed in Illinois (036162396) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083957153
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameUMBER AHMADCredential: DO
Location Address4119 W SHAMROCK LNMchenry, IL 60050-8268
Mailing AddressPo Box 735263Chicago, IL 60673-5263
Phone(815) 398-9491
Fax(815) 381-7498
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1083957153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036162396
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4119 W SHAMROCK LN, Mchenry, IL 60050
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Umber Ahmad Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557599941
PECOS Enrollment IDI20180907000242, I20230907001960
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

5

Medicare enrollment records show Umber Ahmad reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Harvard Hospital Inc
19 mi
Critical Access
901 GRANT ST
Harvard, IL 60033
  • Reassigned Medicare billing, Illinois enrollment
  • 382 clinicians in this Medicare group
NPI 1427001445 (815) 943-5431
Mercy Health System Corporation
24 mi
Critical Access
N2950 STATE ROAD 67
Lake Geneva, WI 53147
  • Reassigned Medicare billing, Wisconsin and Illinois enrollments
  • Also billed through NPI 1598718603 (Wisconsin)
  • 271 clinicians in this Medicare group
NPI 1699728550 (262) 245-0535
Rockford Health Physicians
35 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428
Orthomidwest, PLLC
38 mi
Orthopaedic Surgery
324 ROXBURY RD
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 562 clinicians in this Medicare group
NPI 1730136474 (815) 398-9491
Permanente Medical Group Inc
1,761 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 3

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.

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.
49 services49 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.
39 services25 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.
27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Mercyhealth Hospital & Physician Clinic-Crystal La

Acute Care Hospitals · Crystal Lake, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number140308
Location875 S Route 31Crystal Lake, IL 60014 · Mc Henry County
Emergency services

Mercy Harvard Hospital

Critical Access Hospitals · Harvard, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141335
Location901 S Grant StreetHarvard, IL 60033 · Mc Henry County
Emergency services

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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 10

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

DR. GEORGE LANE STANKEVYCH M.D.
Obstetrics & Gynecology
4119 W SHAMROCK LN, SUITE 200
MCHENRY, IL 60050
McHenry County (815) 344-1611
MRS. GRETCHEN ANN DABROWSKI CNM
Advanced Practice Midwife
4119 W SHAMROCK LN, SUITE 200
MCHENRY, IL 60050
McHenry County (815) 344-1611
LELAND T. GOUGH DPT
Physical Therapist
4119 W SHAMROCK LN
MCHENRY, IL 60050
McHenry County (815) 398-9491
DR. SCOTT J SPENGEL DC
Chiropractor
4119 W SHAMROCK LN
MCHENRY, IL 60050
McHenry County (815) 398-9491
ORTHOMIDWEST, PLLC
Durable Medical Equipment & Medical Supplies
4119 W SHAMROCK LN
MCHENRY, IL 60050
McHenry County (815) 398-9491
GEORGE L STANKEVYCH MD PC
Obstetrics & Gynecology
4119 W SHAMROCK LN, SUITE 200
MCHENRY, IL 60050
McHenry County (815) 344-1611
J & K PEDIATRICS AND ASSOCIATES, LLC
Pediatrics
4119 W SHAMROCK LN, SUITE 201
MCHENRY, IL 60050
McHenry County (815) 759-9407
JACQUELINE L KANNAN M.D.
Internal Medicine (Rheumatology)
4119 W SHAMROCK LN
MCHENRY, IL 60050
McHenry County (815) 398-9491

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 Umber Ahmad's NPI number?

The NPI number for Umber Ahmad is 1083957153. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Umber Ahmad located?

Umber Ahmad practices at 4119 W Shamrock Ln, Mchenry, IL 60050. The listed phone number is (815) 398-9491.

What is Umber Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Umber Ahmad enrolled in Medicare?

Yes. Umber Ahmad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Umber Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Umber Ahmad reassigns Medicare benefits to 5 organizations: Mercy Harvard Hospital Inc (Harvard, IL), Mercy Health System Corporation (Lake Geneva, WI), Rockford Health Physicians (Rockford, IL), Orthomidwest, PLLC (Rockford, IL) and Permanente Medical Group Inc (Stockton, CA). 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 Umber Ahmad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Umber Ahmad accept?

Health plans from Anthem Blue Cross and Blue Shield and MercyCare Health Plans list Umber 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 Umber Ahmad affiliated with any hospitals?

According to CMS data, Umber Ahmad is affiliated with Javon Bea Hospital, Mercyhealth Hospital & Physician Clinic-Crystal La, Mercy Harvard Hospital, Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Umber Ahmad was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.