Individual provider Active NPI

Mahmoud A Saleh, MD

  • Emergency Medicine Physician
  • Maryville, IL
National Provider Identifier
1083697122
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036093369 Issued in IL
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

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204666838MedicaidMO
204666804MedicaidMO
204666846MedicaidMO
204666812MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624001462 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 8628964186 Reassigns benefits to 9 organizations

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
Sanburg Emergency Group, P.C.Group PAC ID 4688003957, 12 clinicians
Midwest Emergency Anderson Health IncGroup PAC ID 8022401256, 33 clinicians

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

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 21, 2022 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Sanburg Emergency Group, P.C. Emergency Medicine CurrentSince Jun 11, 2022 Accepting new patients
Midwest Inpatient Anderson Health, Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Alton-Griffin Emergency Group PC Emergency Medicine CurrentSince Jun 12, 2022 Accepting new patients
Hillsboro Area Hospital, Inc. Emergency Medicine CurrentSince Nov 9, 2020 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 21, 2022 Accepting new patients
Touchette Regional Hospital Inc Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Nov 9, 2020 Accepting new patients
Midwest Emergency Anderson Health, Inc Emergency Medicine CurrentSince Feb 1, 2022 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

  • FHIR API: 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.

View all 23

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": "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

Verify at the official NPI Registry.