Mohammed I Memon, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036107021 Issued in IL

Practice address

1005 Broadway St
Quincy, IL 62301-2834

Phone

(217) 223-8400

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

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)

Hospital & facility affiliations

• Blessing Hospital Hospital, Quincy, IL, CCN 140015
• Illini Community Hospital Hospital, Pittsfield, IL, CCN 141315
• Memorial Hospital Hospital, Carthage, IL, CCN 141305
• MC Donough District Hospital Hospital, Macomb, IL, CCN 140089
• Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Blessing Hospital

  • Multi-Specialty Clinic/Center
  • Quincy, IL
  • NPI 1114471737

  MO

  Medicare reassignment Care Compare group NPD
• Blessingcare Corporation

  • Emergency Medicine Physician
  • Pittsfield, IL
  • NPI 1992038640
  Medicare reassignment NPD
• Rockford Health Physicians

  • Multi-Specialty Clinic/Center
  • Rockford, IL
  • NPI 1043242886
  Medicare reassignment NPD
• Blessing Hospital

  • Social Worker
  • Quincy, IL
  • NPI 1073918462
  NPD
• Blessing Hospital

  • General Acute Care Hospital
  • Quincy, IL
  • NPI 1760571699
  NPD
• Blessingcare Corporation

  • Hematology & Oncology Physician
  • Pittsfield, IL
  • NPI 1356674006
  NPD
• Blessingcare Corporation

  • Rural Health Clinic/Center
  • Pittsfield, IL
  • NPI 1710920129
  NPD
• Blessingcare Corporation

  • Social Worker
  • Pittsfield, IL
  • NPI 1972908390
  NPD
• Hematology-Oncology Consultants, LTD.

  • Hematology & Oncology Physician
  • Naperville, IL
  • NPI 1386749265
  NPD
• Quincy Clinical Laboratory Services SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Quincy, IL
  • NPI 1114773272
  NPD
• West Central Pathology Specialists, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Quincy, IL
  • NPI 1083895452
  NPD
• Blessing Hospital

  • Rural Health Clinic/Center
  • Monroe City, MO
  • NPI 1013683507
  NPD

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

• Blessing Hospital

  • Nurse Practitioner
  • Quincy, IL
  • NPI 1417204827

  Hospital

  Care Compare affiliation
• Blessing Hospital

  • General Acute Care Hospital
  • Quincy, IL
  • NPI 1760571699
  Care Compare affiliation
• Blessingcare Corporation

  • Critical Access Hospital
  • Pittsfield, IL
  • NPI 1720086218
  Care Compare affiliation
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Care Compare affiliation
• Memorial Hospital Association

  • Critical Access Hospital
  • Carthage, IL
  • NPI 1730139031
  Care Compare affiliation
• Southeast Iowa Regional Medical Center, Inc.

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "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": "217-223-8840"
        },
        {
            "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": "217-223-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5985 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016886",
            "country_code": "US",
            "telephone_number": "573-406-5800",
            "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": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2021026747",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036107021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107021",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Philip A Meinhardt, M.D.
• Melissa Hildebrand Counseling Services
• Melissa Hildebrand, LCPC, PLLC
• Stacy Stokes Melton, LCSW
• Gretchen Derosear Melvin, M.S., CCC-A
• Danielle Marie Mercer, LCSW
• Lee Mercer, PTA
• Lynn Barbara Mercurio, LCPC
• Tanya Mero, M.D.
• Mervi H Leyendeckers, O.D., P.C.

• Hematology & Oncology Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.

Verify at the official NPI Registry.