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AHMAD ZABAD M.D.
NPI 1780021774
Internal Medicine in Belleville, IL

Active since May 30, 2013PECOS EnrolledAccepts Medicare Assignment
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 257-6220 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 6, 2026, Jan 9, 2025, Apr 20, 2022 and 3 more (6 updates tracked since 2016).

About Ahmad Zabad M.d. NPPES

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

AHMAD ZABAD M.D. (NPI 1780021774) is an individual internal medicine provider in Belleville, Illinois, licensed in Illinois (036.140039) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780021774
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAHMAD ZABADCredential: M.D.
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address611 W Park StUrbana, IL 61801-2529 · (217) 383-3311
Phone(618) 257-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 30, 2013
Last NPPES UpdateJuly 6, 20266 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1780021774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.140039
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036140039 (IL)
4500 MEMORIAL DR, Belleville, IL 62226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12200 E Washington StBloomington, IL 61701-4364 · Phone (309) 662-3311
Location 21000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4325 · Fax (217) 348-4290

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare), Wellmark Health Plan of Iowa, Inc..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

Ahmad Zabad 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.

PECOS PAC ID9638460306
PECOS Enrollment IDI20160628000951
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 Reassignments

15

Medicare enrollment records show Ahmad Zabad reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America-Illinois Hospitalists, LLP
0.1 mi
Internal Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1841613403 (618) 233-7750
Fairview Heights Medical Group, Sc
25 mi
Internal Medicine
670 MASON RIDGE CENTER DR, STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Also billed through NPI 1679503668 (Missouri)
  • 507 clinicians in this Medicare group
NPI 1811392210 (314) 996-7644
Sarah Bush Lincoln Health Center
58 mi
Skilled Nursing Facility
650 W TAYLOR ST
Vandalia, IL 62471
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1306959689 (618) 283-1232
Carle Health Medical Group
145 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Carle West Physician Group Inc
145 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Bromenn Medical Center
145 mi
Clinic/Center
1300 FRANKLIN AVE STE 100
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
NPI 1104442615 (309) 454-1400
Galen Inpatient Physicians PC
153 mi
Hospitalist
3901 S 7TH ST
Terre Haute, IN 47802
  • Reassigned Medicare billing, Indiana enrollment
  • 228 clinicians in this Medicare group
NPI 1982424867 (812) 232-0021
Carle Eureka Hospital
155 mi
Critical Access
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1184644023 (309) 467-2371
Osf Multi-Specialty Group
156 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
24 On Physicians, PC
204 mi
Hospitalist
1100 E NORRIS DR
Ottawa, IL 61350
  • Reassigned Medicare billing, Illinois enrollment
  • 233 clinicians in this Medicare group
NPI 1346480431 (800) 923-2247

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 10

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.

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.
292 services150 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
251 services32 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
190 services101 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
62 services62 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers12 claims12 services$37.63 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$16.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$83.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CEP AMERICA - ILLINOIS SNF, LLP
Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
MS. LAUREN NICOLE MARSHALL FNP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-5455
MR. LITO T RUFIN NP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
KIM C WRIGLEY P.A.
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
BRIAN BENDEL
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (561) 623-2008
DR. PAUL D SANDER MD
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
St. Clair County (618) 257-4076
DR. NEIL MCCLYMONT D.O.
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
DR. VIBHU DHAWAN MD
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220

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 Ahmad Zabad's NPI number?

The NPI number for Ahmad Zabad is 1780021774. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Ahmad Zabad located?

Ahmad Zabad practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 257-6220.

What is Ahmad Zabad's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ahmad Zabad enrolled in Medicare?

Yes. Ahmad Zabad 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 Ahmad Zabad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ahmad Zabad reassigns Medicare benefits to 15 organizations: Cep America-Illinois Hospitalists, LLP (Belleville, IL), Fairview Heights Medical Group, Sc (Saint Louis, MO), Sarah Bush Lincoln Health Center (Vandalia, IL), Carle Health Medical Group (Urbana, IL), Carle West Physician Group Inc (Normal, IL) and 10 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 Ahmad Zabad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ahmad Zabad accept?

Health plans from CareSource, CareSource (Common Ground Healthcare) and Wellmark Health Plan of Iowa, Inc. list Ahmad Zabad 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 Ahmad Zabad affiliated with any hospitals?

According to CMS data, Ahmad Zabad is affiliated with Carle Foundation Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Ahmad Zabad was last updated on July 6, 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.