Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pushpa K Mamtani, MD

Individual provider Pediatrics Physician · NPI 1376527168

Pushpa K Mamtani, MD is a Pediatric Medicine in Rockford, Illinois. Qualified in 1978, 48 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
48
Licensed in
IL, MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5666 E State St
Rockford, IL 61108-2425
Phone: (815) 226-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1614 E Norris Dr, Ottawa, IL 61350-3681 — (815) 433-1010

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 36 064091 (IL)
Pediatrics Physician Taxonomy 208000000X · Licence 4301503653 (MI)

Record details

NPI number1376527168
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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