DR. AHMED MUHAMMAD S GHADAI M.D
NPI 1447504402
Internal Medicine - Critical Care Medicine in Janesville, WI
About Dr. Ahmed Muhammad S Ghadai M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AHMED MUHAMMAD S GHADAI M.D (NPI 1447504402) is an individual critical care medicine provider in Janesville, Wisconsin, licensed in Indiana (01075661A) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Insight Hospital And Medical Center Chicago, and maintains a secondary practice location in Dekalb.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted 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. Ahmed Muhammad S Ghadai 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.
Medicare Billing Reassignments
8Medicare enrollment records show Ahmed Ghadai reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Sterling, IL 61081
- Reassigned Medicare billing, Illinois enrollment
- 356 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 1,664 clinicians in this Medicare group
Aurora, IL 60504
- Reassigned Medicare billing, Illinois enrollment
- 96 clinicians in this Medicare group
Chicago, IL 60616
- Reassigned Medicare billing, Illinois enrollment
- 354 clinicians in this Medicare group
Harvey, IL 60426
- Reassigned Medicare billing, Illinois enrollment
- 42 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 58 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Insight Hospital And Medical Center Chicago
Acute Care Hospitals · Chicago, ILNorthwestern Medicine Kishwaukee Hospital
Acute Care Hospitals · Dekalb, ILValley West Community Hospital
Critical Access Hospitals · Sandwich, ILMercy Health System Corp
Acute Care Hospitals · Janesville, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
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 Ahmed Ghadai's NPI number?
The NPI number for Ahmed Ghadai is 1447504402. It was assigned to this individual provider in the NPPES registry on October 30, 2012.
Where is Ahmed Ghadai located?
Ahmed Ghadai practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6868.
What is Ahmed Ghadai's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Ahmed Ghadai enrolled in Medicare?
Yes. Ahmed Ghadai 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 Ahmed Ghadai's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ahmed Ghadai reassigns Medicare benefits to 8 organizations: Mercy Health System Corporation (Janesville, WI), Northwestern Medical Faculty Foundation (Carol Stream, IL), Cgh Medical Center (Sterling, IL), Central Dupage Physician Group (Carol Stream, IL), Critical Care Physicians Of Illinois LLC (Aurora, IL) and 3 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 Ahmed Ghadai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ahmed Ghadai accept?
Health plans from Blue Cross and Blue Shield of Texas list Ahmed Ghadai 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 Ahmed Ghadai affiliated with any hospitals?
According to CMS data, Ahmed Ghadai is affiliated with Insight Hospital And Medical Center Chicago, Northwestern Medicine Kishwaukee Hospital, Valley West Community Hospital and Mercy Health System Corp.
When was this NPI record last updated?
The NPPES record for Ahmed Ghadai was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Dr. Ahmed Muhammad S Ghadai, M.D · NPI 1447504402
Critical Care Medicine physician in Janesville, Wisconsin. Individual provider, active in the CMS NPPES registry since October 30, 2012.
## Identity
- **NPI:** 1447504402 (Entity type: Individual)
- **Enumerated:** October 30, 2012
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 01075661A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MINERAL POINT AVE, Janesville, WI 53548-2940
- **Phone:** (608) 756-6868
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Mercy Health System Corporation (NPI 1093768962, Janesville, WI); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL); Cgh Medical Center (NPI 1548540636, Sterling, IL); Central Dupage Physician Group (NPI 1033149844, Carol Stream, IL); Critical Care Physicians Of Illinois LLC (NPI 1508134966, Aurora, IL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 23, 2025
- **Other identifiers:** Medicaid 036138231 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1447504402) · Data from the CMS NPPES public registry.