Dr Imad Qayyum, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Palos Heights, Illinois. 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 |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1760776173
- Provider Enumeration Date: 06/02/2011
- Last Update Date: 01/23/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
|---|
| 208600000X | Surgery | 036.143807 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 036.143807 (Illinois) | Primary |
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 |
|---|
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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