Dr Azhar Kothawala, MD | |
1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 | |
(815) 397-8400 | |
(815) 229-0050 |
Full Name | Dr Azhar Kothawala |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 13 Years |
Location | 1235 N Mulford Rd Ste 222, Rockford, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891042552 | NPI | - | NPPES |
036140452 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 036.140452 (Illinois) | Primary |
207L00000X | Anesthesiology | 036.140452 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Swedish American Hospital | Rockford, IL | Hospital |
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Pain Management Services, Ltd. | 4284693755 | 4 |
Rockford Anesthesiologists Associated Llc | 5597668004 | 51 |
Swedishamerican Hospital | 5799698346 | 269 |
Entity Name | Swedishamerican Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
Entity Name | Rockford Anesthesiologists Associated Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639128598 PECOS PAC ID: 5597668004 Enrollment ID: O20040131000052 |
Entity Name | Medical Pain Management Services, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447276480 PECOS PAC ID: 4284693755 Enrollment ID: O20041008001112 |
Mailing Address | Practice Location Address |
---|---|
Dr Azhar Kothawala, MD 2202 Harlem Road, Suite 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Dr Azhar Kothawala, MD 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 Ph: (815) 397-8400 |
Dr. Uzma Rezvi, M. D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4000 Fax: 815-971-9985 | |
Mark J. Kellen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Alan G Mowbray, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2400 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-4000 | |
John N. Edwards, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6785 Weaver Rd, Suite D, Rockford, IL 61114 Phone: 815-633-8545 | |
Dr. Vishrut P. Naik, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 | |
Adam Soliman, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Dr. William Stephen Minore, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400 Fax: 815-229-0050 |