Dr Imad Qayyum, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Palos Heights, Illinois. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Central Dupage Physician Group and his current practice location is
12255 S 80th Ave, Palos Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 923-4400.
Dr Imad Qayyum is licensed to practice in Illinois (license number 036.143807) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760776173.
Physician's Profile
| Full Name | Dr Imad Qayyum |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 14 Years |
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| Location | 12255 S 80th Ave, Palos Heights, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Imad Qayyum graduated from medical school in 2011
NPI Data:
- NPI Number: 1760776173
- Provider Enumeration Date: 06/02/2011
- Last Update Date: 01/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204140973
- Enrollment ID: I20170914000977
Medical Identifiers
Medical identifiers for Dr Imad Qayyum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760776173 | NPI | - | NPPES |
| 036143807 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 036.143807 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036.143807 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Central Dupage Physician Group | 5890696231 | 977 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Imad Qayyum allows following entities to bill medicare on his behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Imad Qayyum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Imad Qayyum, MD
12251 S 80th Ave Ste 1630,
Palos Heights, IL 60463-1256
Ph: (708) 923-5173 | Dr Imad Qayyum, MD
12255 S 80th Ave,
Palos Heights, IL 60463-1270
Ph: (708) 923-4400 |
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