Active NPI
Mahmoud A Saleh, MD
- Emergency Medicine Physician
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036093369
- Practice address
- 6800 State Route 162
Maryville, IL 62062-8500 - Phone
- (800) 968-6866
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 108467 | MO | |
| Internal Medicine Physician | 207R00000X | 108467 | MO | |
| Internal Medicine Physician | 207R00000X | 036093369 | IL | |
| Emergency Medicine Physician | 207P00000X | 036093369 | IL | Primary |
Addresses
Primary practice location
6800 State Route 162
Maryville, IL 62062-8500
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204666838 | Medicaid | MO | |
| 204666804 | Medicaid | MO | |
| 204666846 | Medicaid | MO | |
| 204666812 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Sanburg Emergency Group, P.C. | Emergency Medicine | Current | Accepting new patients |
| Midwest Inpatient Anderson Health, Inc | Emergency Medicine | Current | Accepting new patients |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Alton-Griffin Emergency Group PC | Emergency Medicine | Current | Accepting new patients |
| Hillsboro Area Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Cepamerica Illinois LLP | Emergency Medicine | Current | Accepting new patients |
| Touchette Regional Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Midwest Emergency Anderson Health, Inc | Emergency Medicine | Current | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Saint Anthony's Physician Group | Internal Medicine | Past | Accepting new patients |
| Physician Groups LC | Internal Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Emergency Medicine | Past | Accepting new patients |
| BC Progress Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Crossroads Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| New Century Physicians of Southern Illinois Inc | Emergency Medicine | Past | Accepting new patients |
| Physician Specialists of St Lukes LLC | Emergency Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
200 Corporate Blvd
Lafayette, LA 70508
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
-
- Emergency Medicine Physician
- Galesburg, IL
- NPI 1992337000
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1891104824
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1821758608
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
-
- Emergency Medicine Physician
- Greenville, IL
- NPI 1225537137
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1083697122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 STATE ROUTE 162",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628500",
"telephone_number": "800-968-6866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALEH",
"first_name": "MAHMOUD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "108467",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "108467",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036093369",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036093369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204666838",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204666804",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204666846",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204666812",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.