MOHAMMAD A. KIZILBASH MD – NPI #1114162948
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MOHAMMAD KIZILBASH is a physician located in MCHENRY, IL. NPPES has assigned the NPI number 1114162948 to MOHAMMAD KIZILBASH on December 08, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 8 years ago on Oct 19, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAMMAD KIZILBASH below.

NPI Profile for
MOHAMMAD A. KIZILBASH

NPI Number
1114162948
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOHAMMAD A. KIZILBASH
Credentials
MD
Primary location
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 60050
Phone: (815) 759-8070 Fax: (815) 759-4931
3 Other location(s):
360 Station Dr Fl 3
Crystal Lake, IL 60014-7978
Phone: (815) 759-8070
Fax: (815) 759-4931
10370 Haligus Rd Ste 200
Huntley, IL 60142-9582
Phone: (815) 759-8070
Fax: (815) 759-4931
1340 Charles St
Suite 300
Rockford, IL 61104-2200
Phone: (815) 490-5888
Fax: (815) 490-5898
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MOHAMMAD KIZILBASH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE LICENSEIL036111516
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 MO 2009030104

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MOHAMMAD KIZILBASH is affiliated with the following medical group(s):
  • HOSPITAL
    • CENTRAL DUPAGE HOSPITAL
      25 NORTH WINFIELD ROAD
      WINFIELD, IL 60190
    • NORTHWESTERN LAKE FOREST HOSPITAL
      1000 N WESTMORELAND ROAD
      LAKE FOREST, IL 60045
    • NORTHWESTERN MEDICINE MCHENRY
      4201 MEDICAL CENTER DRIVE
      MCHENRY, IL 60050

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.