DR. SYED N GHANI M.D
NPI 1205877396
Internal Medicine - Adolescent Medicine in Mchenry, IL

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4309 W MEDICAL CENTER DR, B202, MCHENRY, IL 60050(815) 338-6600 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Syed N Ghani M.d NPPES

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

DR. SYED N GHANI M.D (NPI 1205877396) is an individual adolescent medicine provider in Mchenry, Illinois, licensed in Illinois (036111607) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1205877396
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameDR. SYED N GHANICredential: M.D
Location Address4309 W MEDICAL CENTER DR, B202Mchenry, IL 60050-8419
Mailing Address4309 W Medical Center Dr, B202Mchenry, IL 60050-8419
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 9, 2006
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1205877396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License✔ Licensed in IL · 036111607
Definition
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
4309 W MEDICAL CENTER DR, Mchenry, IL 60050

Accepted 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

Dr. Syed N Ghani M.d 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 ID4880607142
PECOS Enrollment IDI20081104000480, I20180507000998
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

8

Medicare enrollment records show Syed Ghani reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2815 FORBS AVENUE SUITE 107
Hoffman Estates, IL 60192
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 6 clinicians in this Medicare group
Hospitalist
1401 E STATE ST
Rockford, IL 61104
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group
Internal Medicine
2525 S MICHIGAN AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 354 clinicians in this Medicare group
Family Medicine
900 N 2ND ST STE 200
Rochelle, IL 61068
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1821053216 (Illinois)
  • 38 clinicians in this Medicare group
Critical Access
1302 N MAIN ST
Sandwich, IL 60548
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
Internal Medicine
701 10TH ST SE
Cedar Rapids, IA 52403
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
Internal Medicine
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois enrollment
  • 419 clinicians in this Medicare group

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 7

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.

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.
1,778 services589 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.
226 services128 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
195 services192 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.
193 services188 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
101 services82 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.
90 services85 patients

Hospital Affiliations CMS Care Compare 4

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

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

Rochelle Community Hospital

Critical Access Hospitals · Rochelle, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141312
Location900 N 2nd StRochelle, IL 61068 · Ogle County
Emergency services

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

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$7.46 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$11.85 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers12 claims24 services$9.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers48 claims48 services$16.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers48 claims48 services$91.40 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$26.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
4309 W MEDICAL CENTER DR, SUITE B310
MCHENRY, IL 60050
Specialist
4309 W MEDICAL CENTER DR, SUITE B301
MCHENRY, IL 60050
Nurse Anesthetist, Certified Registered
4309 W MEDICAL CENTER DR, SUITE A201
MCHENRY, IL 60050
Anesthesiology
4309 W MEDICAL CENTER DR, SUITE A201
MCHENRY, IL 60050
Hospitalist
4309 W MEDICAL CENTER DR, MOB A102
MCHENRY, IL 60050
Nurse Practitioner (Pediatrics)
4309 W MEDICAL CENTER DR, B310
MCHENRY, IL 60050
Anesthesiology
4309 W MEDICAL CENTER DR, SUITE A201
MCHENRY, IL 60050
Internal Medicine (Critical Care Medicine)
4309 W MEDICAL CENTER DR, SUITE B210
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 Syed Ghani's NPI number?

The NPI number for Syed Ghani is 1205877396. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Syed Ghani located?

Syed Ghani practices at 4309 W Medical Center Dr B202, Mchenry, IL 60050. The listed phone number is (815) 338-6600.

What is Syed Ghani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Syed Ghani enrolled in Medicare?

Yes. Syed Ghani 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 Syed Ghani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Syed Ghani reassigns Medicare benefits to 8 organizations: Premier Health Consultants Inc (Hoffman Estates, IL), Rockford Hospitalist Group, LLC (Rockford, IL), Insight Chicago, Inc. (Chicago, IL), Rochelle Community Hospital Association (Rochelle, IL), Valley West Community Hospital (Sandwich, IL) and 3 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 Syed Ghani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Syed Ghani accept?

Health plans from Quartz and Wellmark Health Plan of Iowa, Inc. list Syed Ghani 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 Syed Ghani affiliated with any hospitals?

According to CMS data, Syed Ghani is affiliated with Uw Health, Saint Anthony Medical Center, Javon Bea Hospital and Rochelle Community Hospital.

When was this NPI record last updated?

The NPPES record for Syed Ghani was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.