Individual provider Active NPI

Mohammed I Memon, M.D.

  • Medical Oncology Physician
  • Quincy, IL
National Provider Identifier
1164577102
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036107021 Issued in IL
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 214-5700
Fax
(217) 214-5675
NPI assigned
Jan 23, 2007
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X 036107021 IL
Medical Oncology Physician 207RX0202X 2021026747 MO
Medical Oncology Physician 207RX0202X 036107021 IL Primary
Hematology (Internal Medicine) Physician 207RH0000X 2021026747 MO

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other practice location 1

100 Medical Dr
Hannibal, MO 63401-6877
Phone (573) 231-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmemon24862@blessing.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051013000614 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 9436104619 Reassigns benefits to 3 organizations
I20210805003497 MO Practitioner - Hematology/Oncology 9436104619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

450 E Sigler Ave
Memphis, MO 63555-1726
Phone (217) 223-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036107021ILMDHematology & Oncology Physician
2021026747MOMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Aug 1, 2021 Accepting new patients
Blessing Hospital CurrentSince Nov 15, 2018 Accepting new patients
Rockford Health Physicians CurrentSince Feb 15, 2017 Accepting new patients
Blessing Hospital Current Accepting new patients
West Central Pathology Specialists, S.C. Current Accepting new patients
Blessing Hospital CurrentSince Nov 15, 2018 Accepting new patients
Quincy Clinical Laboratory Services SC Current Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Aug 1, 2021 Accepting new patients
Blessingcare Corporation Hematology & Oncology CurrentSince Mar 1, 2019 Accepting new patients
Hematology-Oncology Consultants, LTD. Hematology & Oncology Current Accepting new patients
Blessingcare Corporation CurrentSince Mar 1, 2019 Accepting new patients
Blessing Hospital Current Accepting new patients
Blessingcare Corporation Current Accepting new patients
Blessingcare Corporation Current Accepting new patients
Mdy Health S.C. Past Accepting new patients
Blessing Hospital Past Accepting new patients
Blessing Hospital Past Accepting new patients

Locations

1414 Main St
Keokuk, IA 52632
Phone (319) 524-0123

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

100 Spalding Dr
Ste 110
Naperville, IL 60540
Phone (630) 369-1501

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

1005 Broadway St
Quincy, IL 62301

2300 N Rockton Ave
Rockford, IL 61103

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

100 Medical Dr
Hannibal, MO 63401

101 Medical Dr
Hannibal, MO 63401

5985 Hospital Dr
Hannibal, MO 63401
Phone (573) 406-5800

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377

450 E Sigler Ave
Memphis, MO 63555
Phone (660) 465-2828

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: mohammedmemon@blessing.allscriptsdirect.net
  • Direct secure messaging: mohammedmemon@hrmg.allscriptsdirect.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1164577102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400",
            "fax_number": "217-277-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-214-5700",
            "fax_number": "217-214-5675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016877",
            "country_code": "US",
            "telephone_number": "573-231-3800",
            "fax_number": "573-231-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "MOHAMMED",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "IL",
            "license": "036107021",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2021026747",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036107021",
            "primary": true
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "MO",
            "license": "2021026747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmemon24862@blessing.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1005 Broadway St",
            "city": "Quincy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "623012834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.