WAQAS AHMAD MD
NPI 1316300247
Internal Medicine in Rockford, IL

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
5970 CHURCHVIEW DR, ROCKFORD, IL 61107(815) 971-2000(815) 971-9267 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 28, 2020, Mar 29, 2016 (2 updates tracked since 2016).

About Waqas Ahmad Md NPPES

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

WAQAS AHMAD MD (NPI 1316300247) is an individual internal medicine provider in Rockford, Illinois, licensed in Illinois (036152963) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1316300247
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameWAQAS AHMADCredential: MD
Location Address5970 CHURCHVIEW DRRockford, IL 61107-2574
Mailing Address5970 Churchview DrRockford, IL 61107-2574 · (815) 971-2000 · Fax (815) 971-9267
Fax(815) 971-9267
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 29, 2016
Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
NPI 1316300247 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 · 036152963
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.
5970 CHURCHVIEW DR, Rockford, IL 61107

Secondary Practice Location 1

Location 11500 Oglethorpe Ave, Community Internal Medicine of Athens. Suite 200DAthens, GA 30606-2179 · Phone (706) 389-3875 · Fax (706) 389-3876

Other Identifiers 2

Medicaid1316300247WI
Medicaid036152963IL

Accepted Insurance

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

Waqas Ahmad 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 ID8426341322
PECOS Enrollment IDI20200519000468
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 10

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.

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.
490 services314 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
260 services260 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services101 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.
100 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services81 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.
95 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers64 claims202 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers28 claims40 services$0.98 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,160 services$1.51 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$32.72 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers17 claims100 services$1.88 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers16 claims16 services$9.87 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.

Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Advanced Practice Midwife
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Hospitalist
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Obstetrics & Gynecology
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Student in an Organized Health Care Education/Training Program
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Occupational Therapist
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Pediatrics
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107

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 Waqas Ahmad's NPI number?

The NPI number for Waqas Ahmad is 1316300247. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Waqas Ahmad located?

Waqas Ahmad practices at 5970 Churchview Dr, Rockford, IL 61107. The listed phone number is (815) 971-2000.

What is Waqas Ahmad's specialty?

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

Is Waqas Ahmad enrolled in Medicare?

Yes. Waqas 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.

What insurance does Waqas Ahmad accept?

Health plans from MercyCare Health Plans list Waqas 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 Waqas Ahmad affiliated with any hospitals?

According to CMS data, Waqas Ahmad is affiliated with Uw Health, Saint Anthony Medical Center and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Waqas Ahmad was last updated on August 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.