NPIMap

Individual provider Active NPI

Mohammed Al-Zoubaidi, M.D

  • Vascular Surgery Physician
  • Mount Vernon, IL
National Provider Identifier
1063606432
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
036137242 Issued in IL
Practice address
4119 S Water Tower PL Ste a
Mount Vernon, IL 62864-6293
Phone
(618) 816-6006
Fax
(618) 816-6005
NPI assigned
Aug 29, 2007
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 036137242 IL Primary

Addresses

Primary practice location

4119 S Water Tower PL Ste a
Mount Vernon, IL 62864-6293

Mailing address

4119 S Water Tower PL Ste a
Mount Vernon, IL 62864-6293
Phone (618) 816-6006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150702000357 IL Practitioner - Vascular Surgery 4587976683 Reassigns benefits to 3 organizations
I20240805000829 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 4587976683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohammed Al-Zoubaidi MD PLLCGroup PAC ID 0042750341, 2 clinicians

Practice addresses (Care Compare)

4119 S Water Tower PL
Suite a
Mount Vernon, IL 62864-6293
Phone (618) 816-6006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal63
Leg revascularization (restoring blood flow)44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2024 Accepting new patients
Carle Health Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 15, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jul 1, 2024 Accepting new patients
Mohammed Al-Zoubaidi MD PLLC Vascular Surgery CurrentSince Jun 30, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

414 G St
Ste 112
Marysville, CA 95901
Phone (530) 674-8031

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

4119 S Water Tower Pl
Ste A
Mount Vernon, IL 62864
Phone (618) 246-9595

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

900 Main St
Ste 280
Peoria, IL 61602
Phone (309) 643-6118

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: malzouba@yourcarecommunity.org
  • Direct secure messaging: malzoubaidimd406953@carlehiedirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1063606432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 S WATER TOWER PL STE A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646293",
            "telephone_number": "618-816-6006",
            "fax_number": "618-816-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 S WATER TOWER PL STE A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646293",
            "telephone_number": "618-816-6006",
            "fax_number": "618-816-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-ZOUBAIDI",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "036137242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.