Deactivated NPI 1053332320 Deactivated / Inactive NPI Male Practitioner

Dr. Mohammed Badruddoja , MD

Surgery • Rockford, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mohammed Badruddoja has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2006

NPI Deactivation Date March 04, 2020

Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Mohammed Badruddoja, MD was a registered Surgery practicing in Rockford, IL. Throughout an active medical career spanning 14 years, Dr. Badruddoja provided care at the practice location at 6116 MULFORD VILLAGE DR until profile deactivation on 2020-03-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, vitamin b-12 cyanocobalamin, up to 1000 mcg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

6116 Mulford Village Dr

Rockford, IL 611076657

Telephone 8153987264

Fax 8152297264

Associated Practice Facility / Clinic

🏢 Rehabilitation Associates Of Northern Facility NPI 1083771216

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Rockford, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 20.7 Yrs

State Avg: 27.3 Yrs

Regional Practice Density

35 Specialists

Practicing in Rockford, IL (1624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	312	65	$202.00	$101.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	165	48	$30.00	$1.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	165	48	$72.00	$15.46
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	128	22	$169.00	$80.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	48	48	$396.00	$185.74
36415 Insertion of needle into vein for collection of blood sample	44	16	$23.00	$2.94
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	33	33	$44.00	$19.37
G0008 Administration of influenza virus vaccine	32	32	$35.00	$15.85
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	29	13	$103.00	$53.04
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	23	17	$150.00	$102.26
11720 Removal of fingernails or toenails, 1-5 nails	18	14	$67.00	$31.18
11721 Removal of fingernails or toenails, 6 or more nails	14	14	$100.00	$43.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	316	62	$202.00	$98.24
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	235	32	$169.00	$80.93
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	198	46	$30.00	$1.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	197	45	$72.00	$18.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	94	94	$396.00	$193.58
36415 Insertion of needle into vein for collection of blood sample	72	26	$23.00	$2.94
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	50	22	$103.00	$53.02
11721 Removal of fingernails or toenails, 6 or more nails	44	24	$100.00	$42.94
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	42	25	$150.00	$103.08
G0008 Administration of influenza virus vaccine	40	40	$35.00	$19.39
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	39	39	$25.00	$17.88
11720 Removal of fingernails or toenails, 1-5 nails	23	19	$67.00	$30.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	813	32	$89.00	$25.16
97032 Application of electrical stimulation with therapist present, each 15 minutes	342	27	$71.00	$13.33
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	341	28	$87.00	$28.12
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	232	36	$169.00	$80.07
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	206	38	$30.00	$2.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	205	38	$72.00	$23.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	42	$201.26	$97.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	36	$101.00	$40.27
97140 Therapy procedure using manual technique, each 15 minutes	99	16	$68.00	$21.83
36415 Insertion of needle into vein for collection of blood sample	92	30	$23.00	$2.94
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	82	24	$103.00	$52.56
11721 Removal of fingernails or toenails, 6 or more nails	81	37	$100.00	$41.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	66	66	$396.00	$191.00
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	57	27	$150.00	$101.42
G0008 Administration of influenza virus vaccine	52	52	$35.00	$23.77
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	29	29	$25.00	$17.34
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	24	24	$35.00	$17.48
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	13	13	$561.00	$210.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036-065454

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. John Birly , DC

Chiropractor

NPI 1003839507

Doctor of Chiropractic

Dr. Karl Klosowski , DC

Chiropractor

NPI 1497700876

Doctor of Chiropractic

Angie Curran , LMT

Massage Therapist

NPI 1992109821

Licensed Massage Therapist

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated March 04, 2020

Record deactivated on March 04, 2020

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NPI Profile Active March 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 04, 2011

Registered at 6116 MULFORD VILLAGE DR, ROCKFORD, IL 611076657 (Tel: 8153987264)

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Updated Business Mailing Address March 04, 2011

Registered at 7716 CREEK BND, ROCKFORD, IL 611146668 (Tel: 8158773354)

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Provider Name / Credentials Updated March 04, 2011

Recorded as MOHAMMED BADRUDDOJA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2011

Surgery (License #036-065454 in IL)

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Initial NPI Registration & Enumeration July 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053332320

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 22, 2006

Last Update: March 04, 2011

Deactivation Date: March 04, 2020

Update or Correct Profile

Mailing Address

7716 Creek Bnd

Rockford, IL 611146668

Phone: 8158773354

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.