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BINOY KAMAL M.D.
NPI 1295805174
Internal Medicine in Rockford, IL

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
5666 EAST STATE STREET, ROCKFORD, IL 61108(815) 226-2000(815) 227-2880 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 20, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Binoy Kamal M.d. NPPES

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

BINOY KAMAL M.D. (NPI 1295805174) is an individual internal medicine provider in Rockford, Illinois, licensed in Illinois (036-115059) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1295805174
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBINOY KAMALCredential: M.D.
Location Address5666 EAST STATE STREETRockford, IL 61108-2472
Mailing Address5666 E State StRockford, IL 61108-2425 · (815) 226-2000 · Fax (815) 227-2880
Phone(815) 226-2000
Fax(815) 227-2880
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 8, 2006
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1295805174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036-115059✔ Licensed in WI · 51960
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 ListedHospitalistTaxonomy 208M00000X · License 036-115059 (IL)
5666 EAST STATE STREET, Rockford, IL 61108
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Secondary Practice Location 1

Location 1252 McHenry StBurlington, WI 53105-1828 · Phone (262) 767-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare).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

Binoy Kamal 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 ID5799793212
PECOS Enrollment IDI20060324000569, I20101101001589
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

9

Medicare enrollment records show Binoy Kamal reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Katherine Shaw Bethea Hospital
38 mi
General Acute Care Hospital
403 E 1ST ST
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 64 clinicians in this Medicare group
NPI 1427043546 (815) 288-5521
Ksb Medical Group, Inc.
38 mi
Family Medicine
403 E 1ST ST
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1073592119 (815) 285-5507
Premier Health Consultants Inc
44 mi
Internal Medicine
2815 FORBS AVENUE SUITE 107
Hoffman Estates, IL 60192
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1205202009 (312) 404-9818
Cgh Medical Center
48 mi
Family Medicine
101 E MILLER RD
Sterling, IL 61081
  • Reassigned Medicare billing, Illinois enrollment
  • 356 clinicians in this Medicare group
NPI 1548540636 (815) 625-4790
Aurora Medical Group, Inc.
71 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Columbia St. Mary's Hospital Milwaukee, Inc
79 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
79 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Osf Multi-Specialty Group
108 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Ascension Medical Group-Fox Valley Wisconsin, Inc
135 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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 11

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.
98 services72 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.
80 services55 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
74 services47 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
51 services30 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.
41 services40 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
32 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee 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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$17.80 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
2 suppliers25 claims25 services$92.17 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 8

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

CHRISTOPHER M. NIELSEN M.D.
Emergency Medicine
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
DR. BRYAN P TULLY M.D.
Internal Medicine
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
DR. TIMOTHY P COGGIN M.D.
Emergency Medicine
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
DR. IFTEKHAR Y AHMAD M.D.
Radiology (Radiation Oncology)
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
GEORGE T BRYAN JR. MD
Radiology (Radiation Oncology)
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
AZRA ALI M.D.
Hospitalist
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000
KBCLINIC
Surgery
5666 EAST STATE STREET, AMBULATORY SURGERY CENTER/ DR BLUMOFE
ROCKFORD, IL 61108
Winnebago County (815) 227-2274
SHYLENDRA B SREENIVASAPPA M.D.
Internal Medicine (Medical Oncology)
5666 EAST STATE STREET
ROCKFORD, IL 61108
Winnebago County (815) 226-2000

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 Binoy Kamal's NPI number?

The NPI number for Binoy Kamal is 1295805174. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Binoy Kamal located?

Binoy Kamal practices at 5666 East State Street, Rockford, IL 61108. The listed phone number is (815) 226-2000.

What is Binoy Kamal's specialty?

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

Is Binoy Kamal enrolled in Medicare?

Yes. Binoy Kamal 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 Binoy Kamal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Binoy Kamal reassigns Medicare benefits to 9 organizations: Katherine Shaw Bethea Hospital (Dixon, IL), Ksb Medical Group, Inc. (Dixon, IL), Premier Health Consultants Inc (Hoffman Estates, IL), Cgh Medical Center (Sterling, IL), Aurora Medical Group, Inc. (West Allis, WI) and 4 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 Binoy Kamal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Binoy Kamal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Binoy Kamal 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 Binoy Kamal affiliated with any hospitals?

According to CMS data, Binoy Kamal is affiliated with Katherine Shaw Bethea Hospital, Saint Anthony Medical Center and Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Binoy Kamal was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.