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MR. RUMMAN AHMED KHALID M.D.
NPI 1689212854
Student in an Organized Health Care Education/Training Program in Rockford, IL

Active since December 18, 2019PECOS Enrolled
2400 N. ROCKTON AVE., JAVON BEA HOSPITAL- ROCKTON, ROCKFORD, IL 61103(815) 971-5000(815) 971-9795 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Apr 19, 2022, Dec 18, 2019 (3 updates tracked since 2019).

About Mr. Rumman Ahmed Khalid M.d. NPPES

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

MR. RUMMAN AHMED KHALID M.D. (NPI 1689212854) is an individual student in an organized health care education/training program in Rockford, Illinois and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Williamsville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689212854
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. RUMMAN AHMED KHALIDCredential: M.D.
Location Address2400 N. ROCKTON AVE., JAVON BEA HOSPITAL- ROCKTONRockford, IL 61103
Mailing Address8201 E. Riverside Blvd., Javon Bea Hospital-riversideRockford, IL 61114 · (815) 971-7000 · Fax (815) 971-9795
Phone(815) 971-5000
Fax(815) 971-9795
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 18, 2019
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1689212854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2400 N. ROCKTON AVE., Rockford, IL 61103
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Secondary Practice Location 1

Location 11540 Maple RdWilliamsville, NY 14221-3647 · Phone (716) 852-4772

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Rumman Ahmed Khalid M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688175037
PECOS Enrollment IDI20250828002056
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.

Other Providers at the Same Location NPPES

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

LARISA PITON APN
Nurse Practitioner (Acute Care)
2400 N. ROCKTON AVE., PAIN MANAGEMENT DEPT
ROCKFORD, IL 61103
Winnebago County (815) 971-5000

Frequently Asked Questions

What is Rumman Khalid's NPI number?

The NPI number assigned to this healthcare provider is 1689212854, enumerated as an "individual" on December 18, 2019.

Where is the provider located?

The provider is located at 2400 N. ROCKTON AVE. JAVON BEA HOSPITAL- ROCKTON ROCKFORD, IL 61103 and the phone number is (815) 971-5000.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.