ABDUR RAHMAN FUZAIL AHMAD – NPI #1053727776
Internal Medicine

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Health Care Provider Taxonomy Code for Internal Medicine

ABDUR RAHMAN FUZAIL AHMAD is a physician located in PANA, IL. NPPES has assigned the NPI number 1053727776 to ABDUR RAHMAN FUZAIL AHMAD on July 02, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Clinical Cardiac Electrophysiology

The NPI profile was last updated on Feb 10, 2026. 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 ABDUR RAHMAN FUZAIL AHMAD below.

NPI Profile for
ABDUR RAHMAN FUZAIL AHMAD

NPI Number
1053727776
Enumeration Date

(about 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ABDUR RAHMAN FUZAIL AHMAD
Primary location
101 E 9TH ST
PANA, IL 62557-1785
Phone: (217) 562-2131 Fax:
1 Other location(s):
619 E Mason St Ste 4P57
Springfield, IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Mailing address
619 E MASON ST STE 4P57
SPRINGFIELD, IL 62701-1034
Phone: (217) 788-0706 Fax: (217) 525-2535
Sole Proprietor
No
Updated
Certification Date
Feb 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology (Primary)		 IL 036.159550
207RC0000X
- Internal Medicine / Cardiovascular Disease		 IA MD-49663
207R00000X
- Internal Medicine		 WI 67263

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
619 E MASON ST STE 4P57,
SPRINGFIELD, IL 77025-1669

Additional Information

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ABDUR RAHMAN FUZAIL AHMAD is affiliated with the following medical group(s):
  • HOSPITAL
    • GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI
      801 ILLINI DR
      SILVIS, IL 61282
    • GENESIS MEDICAL CENTER-DAVENPORT
      1227 EAST RUSHOLME STREET
      DAVENPORT, IA 52803
    • GENESIS MEDICAL CENTER-DEWITT
      1118 11TH STREET
      DEWITT, IA 52742
    • MERCYONE CLINTON MEDICAL CENTER
      1410 NORTH 4TH STREET
      CLINTON, IA 52732
    • TRINITY ROCK ISLAND
      2701 17TH ST
      ROCK ISLAND, IL 61201

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