Hatim A Mahmood, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Belleville, IL
NPI 1174556583 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1174556583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 036096289 (IL)
- Practice address
- 180 S 3Rd St Ste 300
Belleville, IL 62220-1952 - Phone
- (618) 213-7933
- Fax
- (618) 213-7934
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Southern Illinois University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Healthcare Foundation Inc
Touchette Regional Hospital Inc
Practice addresses (Care Compare)
180 S 3Rd St
Suite 104
Belleville, IL 62220-1952
Phone (618) 233-5480
5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060
Hospital & facility affiliations
- Touchette Regional Hospital Inc
- Memorial Hospital
- Barnes Jewish Hospital
- HSHS St Elizabeth'S Hospital
- Washington County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060112000619 | IL | Practitioner - Cardiovascular Disease (Cardiology) |
9830112101 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Healthcare Foundation Inc | Interventional Cardiology | Current |
Accepting new patients |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation, Inc. | Current |
Accepting new patients | |
| Touchette Regional Hospital Inc | Cardiovascular Disease | Current |
Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current |
Accepting new patients | |
| Advanced Cardiology and Vascular Services, LLC | Cardiovascular Disease | Past |
Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066
211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700
180 S 3rd St
Ste 300
Belleville, IL 62220
Phone (618) 213-7933
180 S 3rd St
Ste 350
Belleville, IL 62220
Phone (618) 213-7933
180 S 3rd St
Ste 104
Belleville, IL 62220
Phone (618) 222-4701
6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
317 Salem Pl
Ste 180
Fairview Hts, IL 62208
Phone (618) 206-4050
310 N 7 Hills Rd
#150
O Fallon, IL 62269
Phone (618) 233-2220
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
2041 Goose Lake Rd
Sauget, IL 62206
1404 Cross St
Ste 2940
Shiloh, IL 62269
Phone (618) 233-3660
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
Interoperability endpoints
- hatim.mahmood.1@9559.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 036096289 | IL | |
| Nuclear Cardiology Physician | 207UN0901X | 036096289 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036096289 | IL | Yes |
Addresses
Primary practice location
180 S 3Rd St Ste 300
Belleville, IL 62220-1952
Mailing address
180 S 3Rd St Ste 300
Belleville, IL 62220-1952
Phone (618) 213-7933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174556583 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | hatim.mahmood.1@9559.direct.athenahealth.com | Direct |
Other providers in Belleville, IL
- Kayla Madison
- Lamisha Madison
- Diane M Maes
- Magnetic Imaging of Belleville, LTD
- Jessica Mahassek
- Julie Malherek
- Nitin Gulshan Malhotra
- Jordan Danielle Malm
- Mary E Maloney
- Kim Mank
All providers in Belleville, IL · Cardiovascular Disease Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.