Dr Mohammed Raasiq Ul Iman Gandam, MD in Rockford, IL

Dr Mohammed Raasiq Ul Iman Gandam, MD is a medicare enrolled "Internal Medicine" physician in Rockford, Illinois. His current practice location is 1401 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (770) 696-4400.

Dr Mohammed Raasiq Ul Iman Gandam is licensed to practice in Illinois (license number 036.164074) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417584699.

Contact Information

	Dr Mohammed Raasiq Ul Iman Gandam, MD
	1401 E State St, Rockford, IL 61104-2315
	(770) 696-4400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mohammed Raasiq Ul Iman Gandam
Gender	Male
Speciality	Internal Medicine
Location	1401 E State St, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417584699
Provider Enumeration Date: 03/26/2020
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 7719332832
Enrollment ID: I20231010002450

Medical Identifiers

Medical identifiers for Dr Mohammed Raasiq Ul Iman Gandam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417584699	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	036.164074 (Illinois)	Primary

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 Mohammed Raasiq Ul Iman Gandam allows following entities to bill medicare on his behalf.

Entity Name	Rockford Hospitalist Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750088852 PECOS PAC ID: 9830559491 Enrollment ID: O20230714002271

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 Mohammed Raasiq Ul Iman Gandam 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 Mohammed Raasiq Ul Iman Gandam, MD 1401 E State St, Rockford, IL 61104-2315 Ph: (779) 696-4400	Dr Mohammed Raasiq Ul Iman Gandam, MD 1401 E State St, Rockford, IL 61104-2315 Ph: (770) 696-4400

Reviews and Comments

Internal Medicine Doctors in Rockford, IL

Dr. Adekola Abioudun Ashaye, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Prasad K. Kilaru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000
David R. Mitchell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000
Dr. Amrutha Mary George, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201
Rajyalaxmi Mullapudi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Geoffrey Tsaras, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410
Chester Durnas, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6785 Weaver Rd, Ste D, Rockford, IL 61114 Phone: 815-633-8586

Dr Mohammed Raasiq Ul Iman Gandam, MD - Medicare Internal Medicine in Rockford, IL