DR. MOHAMMAD MUSHTAQ KHANDWALA BSC, MD
NPI 1356962740
Family Medicine in Rockford, IL

Q: What is Mohammad Khandwala's NPI number?

The NPI number for Mohammad Khandwala is 1356962740. It was assigned to this individual provider in the NPPES registry on April 27, 2020.

Q: What is Mohammad Khandwala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 27, 2020PECOS EnrolledAccepts Medicare Assignment

1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1000(815) 972-1086 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2024, Sep 2, 2023, Jul 5, 2023 (3 updates tracked since 2023).

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About Dr. Mohammad Mushtaq Khandwala Bsc, Md NPPES

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

DR. MOHAMMAD MUSHTAQ KHANDWALA BSC, MD (NPI 1356962740) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036172116) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1356962740

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MOHAMMAD MUSHTAQ KHANDWALACredential: BSC, MD

Location Address1221 E STATE STRockford, IL 61104-2231

Mailing Address1221 E State StRockford, IL 61104-2231 · (815) 972-1000 · Fax (815) 972-1086

Phone(815) 972-1000

Fax(815) 972-1086

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 27, 2020

Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1356962740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036172116✔ Licensed in MN · 75001

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1221 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 Quartz.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

Dr. Mohammad Mushtaq Khandwala Bsc, 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 ID8325572290

PECOS Enrollment IDI20241114002516

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.

Hospital Affiliations CMS Care Compare 2

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number140150

Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County

Emergency services Birthing friendly

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

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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

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.

DOLORES APREDA DO

Student in an Organized Health Care Education/Training Program