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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: October 18, 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 and maintains a secondary practice location in Williamsville.

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
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, billing reassignment, and ordering and referring status from CMS.

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).

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 Reassignment

Medicare enrollment records show Rumman Khalid reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Physician, PC
500 mi
General Practice
3898 VINEYARD DR
Dunkirk, NY 14048
  • Reassigned Medicare billing, New York enrollment
  • 572 clinicians in this Medicare group
NPI 1093959322 (716) 692-3302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rumman Khalid's NPI number?

The NPI number for Rumman Khalid is 1689212854. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Rumman Khalid located?

Rumman Khalid practices at 2400 N. Rockton Ave. Javon Bea Hospital- Rockton, Rockford, IL 61103. The listed phone number is (815) 971-5000.

What is Rumman Khalid's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Rumman Khalid enrolled in Medicare?

Yes. Rumman Khalid is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rumman Khalid's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rumman Khalid reassigns Medicare benefits to General Physician, PC (Dunkirk, NY). The 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 Rumman Khalid's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rumman Khalid was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.