DR. SAYAM FAWAD UDDIN MD
NPI 1740926138
Internal Medicine - Hospice and Palliative Medicine in Peoria, IL

Active since May 09, 2022PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE POB SUITE 105, PEORIA, IL 61637(309) 624-4100 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 30, 2025, Jun 3, 2025, May 9, 2022 (3 updates tracked since 2022).

About Dr. Sayam Fawad Uddin Md NPPES

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

DR. SAYAM FAWAD UDDIN MD (NPI 1740926138) is an individual hospice and palliative medicine provider in Peoria, Illinois, licensed in Illinois (036.175776) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Spring Hill.

NPPES Registry Identity

NPI1740926138
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. SAYAM FAWAD UDDINCredential: MD
Location Address530 NE GLEN OAK AVE POB SUITE 105Peoria, IL 61637-5407
Mailing Address11307 Cortez BlvdSpring Hill, FL 34613-5407 · (352) 592-2753
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 9, 2022
Last NPPES UpdateJune 30, 20253 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1740926138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in IL · 036.175776
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
530 NE GLEN OAK AVE POB SUITE 105, Peoria, IL 61637

Secondary Practice Location 1

Location 111307 Cortez BlvdSpring Hill, FL 34613-5407 · Phone (352) 592-2753

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. Sayam Fawad Uddin 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 ID1355729765
PECOS Enrollment IDI20260520002733
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 Sayam Uddin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 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.

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

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 Sayam Uddin's NPI number?

The NPI number for Sayam Uddin is 1740926138. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Where is Sayam Uddin located?

Sayam Uddin practices at 530 NE Glen Oak Ave Pob Suite 105, Peoria, IL 61637. The listed phone number is (309) 624-4100.

What is Sayam Uddin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Sayam Uddin enrolled in Medicare?

Yes. Sayam Uddin 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 organization bills Medicare for Sayam Uddin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sayam Uddin reassigns Medicare benefits to 24 On Physicians, PC (Ottawa, IL). 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 Sayam Uddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sayam Uddin affiliated with any hospitals?

According to CMS data, Sayam Uddin is affiliated with Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Sayam Uddin was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.