WAQAS AHMAD MD
NPI 1316300247
Internal Medicine in Rockford, IL

Q: 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.

Q: What is Waqas Ahmad's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Waqas Ahmad was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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: October 18, 2026.

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

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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

Phone(815) 971-2000

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5970 CHURCHVIEW DR, Rockford, IL 61107

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

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, I20240620002940

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 Waqas Ahmad reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians

2.6 mi

Multi-Specialty

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Reassigned Medicare billing, Illinois enrollment
1,375 clinicians in this Medicare group

NPI 1043242886 (608) 314-2428

Senf Np Family Medicine PLLC

50 mi

Surgery

1901 N ROSELLE RD STE 800
Schaumburg, IL 60195

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

NPI 1821702432 (443) 383-9300

Nova Medico S.C.

61 mi

Pain Medicine

1480 RENAISSANCE DR STE 211
Park Ridge, IL 60068

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Nova Medico Sc
23 clinicians in this Medicare group

NPI 1871689208 (847) 296-6161

Trio Health Medical Il Np Partners PLLC

69 mi

Nurse Practitioner

2201 MAIN ST
Evanston, IL 60202

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

NPI 1497637011 (773) 831-5021

MD @ Home Illinois, Sc

74 mi

Internal Medicine

2003 W FULTON ST STE 303
Chicago, IL 60612

Reassigned Medicare billing, Illinois and Indiana enrollments
127 clinicians in this Medicare group

NPI 1568758415 (312) 243-2223

United Woundcare Institute Wisconsin Sc

76 mi

Hospitalist

250 E WISCONSIN AVE
Milwaukee, WI 53202

Reassigned Medicare billing, Wisconsin enrollment
6 clinicians in this Medicare group

NPI 1669249959 (888) 402-0202

Patel Family Medicine LLC

154 mi

Clinic/Center

105 WATER ST
Plymouth, IN 46563

Reassigned Medicare billing, Indiana enrollment
11 clinicians in this Medicare group

NPI 1225348584 (574) 936-3178

Sound Physicians Of Illinois, LLC

256 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

Consonant Healing Associates Of De LLC

673 mi

Surgery

909 RIDGEBROOK RD STE 220
Sparks, MD 21152

Reassigned Medicare billing, Wisconsin enrollment
2 clinicians in this Medicare group

NPI 1669099321 (443) 383-9300

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 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.

DAVID R. MITCHELL MD

Internal Medicine