Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114162948 Individual Practitioner Male Practitioner

Dr. Mohammad Ali Kizilbash , MD

Internal Medicine - Cardiovascular Disease • Mchenry, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mohammad Kizilbash, MD is a certified Internal Medicine - Cardiovascular Disease practicing in Mchenry, IL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Kizilbash delivers high-quality medical care to the local community at 4309 W MEDICAL CENTER DR STE A200.

Dr. Kizilbash is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, ultrasound of heart with color-depicted blood flow, rate, direction and valve function, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4309 W Medical Center Dr Ste A200

Mchenry, IL 60050

Telephone 8157598070
Fax 8157594931
Associated Practice Facility / Clinic
🏢 Centegra Health System Facility NPI 1497136071

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Cardiovascular Disease in Mchenry, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs +4.5 yrs vs City Avg
City Avg: 21.5 Yrs
State Avg: 30.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Mchenry, IL (1145 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
78.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kizilbash (26 Years) 26 Yrs
Mchenry Specialty Average (21.5 Years) 21.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
1,094 946 $57.00 $8.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
1,012 987 $380.00 $67.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
948 408 $216.28 $77.66
93356 Heart muscle strain imaging
618 604 $147.00 $11.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
562 490 $323.00 $125.27
76376 3d radiographic procedure
406 399 $57.00 $9.32
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
375 340 $88.00 $16.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
372 355 $613.00 $172.17
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
258 253 $55.49 $8.00
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician
244 243 $200.00 $13.58
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician
244 243 $217.00 $20.43
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
206 197 $175.00 $2.98
93320 Ultrasound of heart blood flow, valves and chambers
118 115 $149.00 $17.31
93321 Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers
101 96 $98.00 $7.05
93312 Ultrasound of heart with probe in esophagus, with report
92 90 $593.00 $103.39
93308 Ultrasound of heart, follow-up
90 81 $147.00 $24.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
80 80 $505.00 $163.94
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
78 78 $95.00 $6.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes
60 49 $119.00 $49.66
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
58 58 $487.00 $80.57
93352 Injection of x-ray contrast during ultrasound of heart
48 48 $227.00 $32.90
99213 Established patient office or other outpatient visit, typically 15 minutes
48 41 $219.00 $89.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
40 40 $514.00 $178.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 30 $238.00 $96.72
93000 Routine ekg using at least 12 leads including interpretation and report
27 27 $140.00 $14.06
99442 Telephone medical discussion with physician, 11-20 minutes
27 27 $175.00 $88.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $330.00 $110.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
20 20 $428.70 $130.59
93355 Ultrasound of heart with probe in esophagus during surgery on heart or great blood vessels with report
17 17 $1236.00 $221.97
92960 External shock to heart to regulate heart beat
17 16 $1659.00 $106.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
16 15 $335.00 $143.78
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
12 12 $57.00 $7.96

Medical Specialties & State Licenses

Internal Medicine - Cardiovascular Disease Primary Specialty

NUCC Taxonomy Code: 207RC0000X

State License IL 036-111516

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License MO 2009030104

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
036111516 (IL)

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

260 E Congress Pkwy, Crystal Lake, IL 600146235

Northwestern Medical Faculty Foundation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594323

Northwestern Medical Faculty Foundation

3701 Doty Rd, Woodstock, IL 600987509

Phone: 8157594323

Northwestern Medical Faculty Foundation

4309 W Medical Ctr Dr, Mchenry, IL 600508411

Phone: 8157598070

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

10370 Haligus Rd, Huntley, IL 601429582

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

10400 Haligus Rd, Huntley, IL 601429553

Northwestern Medical Faculty Foundation

3701 Doty Rd, Woodstock, IL 600987509

Phone: 8153343816

Northwestern Medical Faculty Foundation

515 Valley View Dr, Moline, IL 612656175

Phone: 3126950870

Northwestern Medical Faculty Foundation

10350 Haligus Rd, Huntley, IL 601429545

Northwestern Medical Faculty Foundation

4309 W Medical Ctr Dr, Mchenry, IL 600508437

Phone: 8157598070

Northwestern Medical Faculty Foundation

10350 Haligus Rd, Huntley, IL 601429585

Phone: 8475356083

Northwestern Medical Faculty Foundation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8157594800

Northwestern Medical Faculty Foundation

1475 E Belvidere Rd, Grayslake, IL 600302012

Northwestern Medical Faculty Foundation

2507 N Richmond Rd, Mchenry, IL 600515407

Phone: 8152067500

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Secondary Practice Locations

1340 Charles St, Suite 300

Rockford, IL 611042200

Phone: 8154905888

360 Station Dr Fl 3

Crystal Lake, IL 600147978

Phone: 8157598070

10370 Haligus Rd Ste 200

Huntley, IL 601429582

Phone: 8157598070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. Asim Zaidi , MD

Internal Medicine - Interventional Cardiology

NPI 1063641181

Doctor of Medicine (M.D.)

Justin Duffy , PA-C

Physician Assistant

NPI 1174918809

Physician Assistant (Certified)

Judi Forner

Clinical Nurse Specialist - Adult Health

NPI 1194123679
NPI 1205609351

Advanced Practice Registered Nurse, Certified Nurse Practitioner

NPI 1205665478

ACNP, Certified Nurse Practitioner

Edward Leblanc , PA-C

Physician Assistant

NPI 1235476755

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2018

Internal Medicine (License #036-111516 in IL)

📍
Updated Practice Location May 17, 2018

Registered at 4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050 (Tel: 8157598070)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Internal Medicine (License #2009030104 in MO)

NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2017

Registered at 4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 600508437 (Tel: (815) 759-8070)

📍
Updated Business Mailing Address August 01, 2017

Registered at 4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 600508437 (Tel: (815) 759-8070)

👤
Provider Name / Credentials Updated August 01, 2017

Recorded as MOHAMMAD KIZILBASH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Internal Medicine (License #2009030104 in MO)

NPI Profile Active August 27, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2013

Registered at 1340 CHARLES ST, SUITE 300, ROCKFORD, IL 611042200 (Tel: 8154905888)

📍
Updated Business Mailing Address August 27, 2013

Registered at PO BOX 1567, ROCKFORD, IL 611100067 (Tel: 7796967150)

👤
Provider Name / Credentials Updated August 27, 2013

Recorded as MOHAMMAD KIZILBASH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2013

Internal Medicine (License #036-111516 in IL)

🟢
Initial NPI Registration & Enumeration December 08, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114162948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2008
Last Update: October 19, 2018
Sole Proprietor: No

Mailing Address

4309 W Medical Center Dr Ste A200

Mchenry, IL 600508437

Phone: 8157598070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.