DR. HUMAED MOHAMMED ABDUL MD
NPI 1295387280
Internal Medicine in Rockford, IL

Q: What is Humaed Mohammed Abdul's NPI number?

The NPI number for Humaed Mohammed Abdul is 1295387280. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Humaed Mohammed Abdul's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment

1401 E STATE ST, ROCKFORD, IL 61104(779) 696-5476 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Humaed Mohammed Abdul Md NPPES

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

DR. HUMAED MOHAMMED ABDUL MD (NPI 1295387280) is an individual internal medicine provider in Rockford, Illinois, licensed in Illinois (036.159177) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295387280

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. HUMAED MOHAMMED ABDULCredential: MD

Location Address1401 E STATE STRockford, IL 61104-2315

Mailing Address1401 E State StRockford, IL 61104-2315 · (779) 696-5476

Phone(779) 696-5476

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 10, 2019

Last NPPES UpdateJune 27, 2023

NPPES CertifiedJune 27, 2023

✔ NPI 1295387280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036.159177

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 125075117 (IL)

1401 E STATE ST, Rockford, IL 61104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..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. Humaed Mohammed Abdul 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 ID2163898925

PECOS Enrollment IDI20241214000425

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 Humaed Mohammed Abdul reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Hospitalist Group, LLC

2.0 mi

Hospitalist

1401 E STATE ST
Rockford, IL 61104

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

NPI 1750088852 (779) 696-4400

Cogent Healthcare Of Iowa, PC

132 mi

Internal Medicine

701 10TH ST SE
Cedar Rapids, IA 52403

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

NPI 1982654497 (319) 861-7803

Cogent Healthcare Of Illinois, LLC

201 mi

Internal Medicine

1005 BROADWAY ST
Quincy, IL 62301

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

NPI 1487897849 (615) 377-5652

Sound Physicians Of Illinois, LLC

253 mi

Hospitalist

12303 DE PAUL DR
Bridgeton, MO 63044

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

NPI 1043598865 (314) 344-6000

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 5

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 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.

164 services75 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.

96 services95 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.

75 services74 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.

74 services40 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

37 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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.

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