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YAZAN FAHMAWI MD
NPI 1760978910
Internal Medicine - Critical Care Medicine in Rockford, IL

Active since July 10, 2018PECOS EnrolledAccepts Medicare Assignment
1340 CHARLES ST STE 405, ROCKFORD, IL 61104(779) 696-6102(779) 696-6026 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Jun 4, 2024, Oct 12, 2023 and 2 more (5 updates tracked since 2018).

About Yazan Fahmawi Md NPPES

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

YAZAN FAHMAWI MD (NPI 1760978910) is an individual critical care medicine provider in Rockford, Illinois, licensed in Illinois (036-167640) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1760978910
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameYAZAN FAHMAWICredential: MD
Location Address1340 CHARLES ST STE 405Rockford, IL 61104-2200
Mailing Address2550 Charles StRockford, IL 61108-1673 · (779) 696-7019
Phone(779) 696-6102
Fax(779) 696-6026
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 10, 2018
Last NPPES UpdateApril 14, 20265 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1760978910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036-167640
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD.42858 (AL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1340 CHARLES ST STE 405, Rockford, IL 61104
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Secondary Practice Location 1

Location 12550 Charles StRockford, IL 61108-1673 · Phone (251) 471-7207

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

Yazan Fahmawi 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 ID3870846603
PECOS Enrollment IDI20240911002396
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.

Areas of Expertise CMS Part B claims 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
22 services22 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
21 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services13 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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 4

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

CHRISTINE R THOMAS
Physician Assistant
1340 CHARLES ST STE 405
ROCKFORD, IL 61104
Winnebago County (779) 696-8700
DANIEL LEONARD DO
Internal Medicine (Critical Care Medicine)
1340 CHARLES ST STE 405
ROCKFORD, IL 61104
Winnebago County (779) 696-6102
DR. MICHAEL PURUCKHERR MD
Internal Medicine (Pulmonary Disease)
1340 CHARLES ST STE 405
ROCKFORD, IL 61104
Winnebago County (779) 696-6102
TARA RAZMA STAFFORD PA-C
Physician Assistant
1340 CHARLES ST STE 405
ROCKFORD, IL 61104
Winnebago County (779) 696-8700

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 Yazan Fahmawi's NPI number?

The NPI number for Yazan Fahmawi is 1760978910. It was assigned to this individual provider in the NPPES registry on July 10, 2018.

Where is Yazan Fahmawi located?

Yazan Fahmawi practices at 1340 Charles St Ste 405, Rockford, IL 61104. The listed phone number is (779) 696-6102.

What is Yazan Fahmawi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Yazan Fahmawi enrolled in Medicare?

Yes. Yazan Fahmawi 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.

Is Yazan Fahmawi affiliated with any hospitals?

According to CMS data, Yazan Fahmawi is affiliated with Uw Health and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Yazan Fahmawi was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.