DR. MOHAMMAD ALI KIZILBASH MD
NPI 1114162948
Internal Medicine - Cardiovascular Disease in Mchenry, IL

Active since December 08, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050(815) 759-8070(815) 759-4931 Get Directions Write a Review

NPPES record last updated: October 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2018, May 17, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Mohammad Ali Kizilbash Md NPPES

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

DR. MOHAMMAD ALI KIZILBASH MD (NPI 1114162948) is an individual cardiovascular disease provider in Mchenry, Illinois, licensed in Illinois (036-111516) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114162948
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MOHAMMAD ALI KIZILBASHCredential: MD
Location Address4309 W MEDICAL CENTER DR STE A200Mchenry, IL 60050
Mailing Address4309 W Medical Center Dr Ste A200Mchenry, IL 60050-8437 · (815) 759-8070 · Fax (815) 759-4931
Fax(815) 759-4931
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 8, 2008
Last NPPES UpdateOctober 19, 20184 updates tracked since enumeration
NPI 1114162948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in IL · 036-111516 Licensed in MO · 2009030104
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4309 W MEDICAL CENTER DR STE A200, Mchenry, IL 60050

Secondary Practice Locations 3

Location 11340 Charles St, Suite 300Rockford, IL 61104-2200 · Phone (815) 490-5888 · Fax (815) 490-5898
Location 2360 Station Dr Fl 3Crystal Lake, IL 60014-7978 · Phone (815) 759-8070 · Fax (815) 759-4931
Location 310370 Haligus Rd Ste 200Huntley, IL 60142-9582 · Phone (815) 759-8070 · Fax (815) 759-4931

Other Identifiers 1

Other036111516IL · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mohammad Ali Kizilbash Md 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 ID3870649429
PECOS Enrollment IDI20090923000184
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.

Areas of Expertise CMS Part B claims 31

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.

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.
1,094 services946 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
1,012 services987 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.
948 services408 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
618 services604 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.
562 services490 patients
3d radiographic procedure 76376
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
406 services399 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Interventional Cardiology)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Physician Assistant
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Clinical Nurse Specialist (Adult Health)
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Physician Assistant
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Nurse Practitioner
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050

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 Mohammad Kizilbash's NPI number?

The NPI number for Mohammad Kizilbash is 1114162948. It was assigned to this individual provider in the NPPES registry on December 8, 2008.

Where is Mohammad Kizilbash located?

Mohammad Kizilbash practices at 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050. The listed phone number is (815) 759-8070.

What is Mohammad Kizilbash's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mohammad Kizilbash enrolled in Medicare?

Yes. Mohammad Kizilbash 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.

Is Mohammad Kizilbash affiliated with any hospitals?

According to CMS data, Mohammad Kizilbash is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mohammad Kizilbash was last updated on October 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.