NPIMap

Individual provider Active NPI

Ali Ahsen Syed, MD

  • Hospitalist Physician
  • Lebanon, MO
National Provider Identifier
1205321171
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2019034661 Issued in MO
Practice address
100 Hospital Dr
Lebanon, MO 65536-9210
Phone
(417) 533-6100
NPI assigned
Jun 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036156519 IL
Internal Medicine Physician 207R00000X 2019034661 MO
Infectious Disease Physician 207RI0200X 036156519 IL
Hospitalist Physician 208M00000X 036156519 IL
Hospitalist Physician 208M00000X 2019034661 MO Primary

Addresses

Primary practice location

100 Hospital Dr
Lebanon, MO 65536-9210

Mailing address

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6100

Other practice location 1

751 N Rutledge St Ste 1100
Springfield, IL 62702-4968
Phone (217) 545-8000

Other practice location 2

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-5811

Other practice location 3

800 E Carpenter St
Springfield, IL 62769-4968
Phone (217) 544-6464

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asyed321359@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220524001534 IL Practitioner - Internal Medicine 7810246352 Reassigns benefits to 6 organizations
I20230712004256 MO Practitioner - Internal Medicine 7810246352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

241 W Weaver Rd
Suite 145B
Forsyth, IL 62535-9766
Phone (217) 876-5220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036156519ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc Internal Medicine CurrentSince Sep 19, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Aug 15, 2022 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Feb 16, 2024 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 1, 2023 Accepting new patients
Decatur Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince May 3, 2022 Accepting new patients
Good Samaritan Regional Health Center Current Accepting new patients
HSHS Medical Group Inc CurrentSince Sep 19, 2022 Accepting new patients
Cep America-Illinois Hospitalists, LLP Internal Medicine CurrentSince Feb 16, 2024 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Decatur Memorial Hospital Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Med Rush Clinical Lab Inc Current Accepting new patients
HSHS Medical Group Inc Current Accepting new patients
Med Rush Clinical Lab Inc CurrentSince Jul 29, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince May 3, 2022 Accepting new patients
Mercy Clinic Springfield Communities Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Mercy Hospital Lebanon Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1631 Rand Rd
Des Plaines, IL 60016
Phone (773) 942-6351

241 W Weaver Rd
Ste 145B
Forsyth, IL 62535
Phone (217) 876-5220

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Interoperability endpoints

  • Direct secure messaging: asyed01@yourcarecommunity.org
  • Direct secure messaging: asyed225495@direct.luhs.org
  • Direct secure messaging: asyed321359@ewd.direct.hshs.org

Organizations & group practices 20

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 20

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1205321171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 N Rutledge St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627024968",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "fax_number": "217-788-5504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625213810",
            "country_code": "US",
            "telephone_number": "217-464-5811",
            "fax_number": "217-464-1318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Carpenter St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627694968",
            "country_code": "US",
            "telephone_number": "217-544-6464",
            "fax_number": "217-757-6805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYED",
        "first_name": "ALI",
        "middle_name": "AHSEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-24",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036156519",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019034661",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036156519",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036156519",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2019034661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asyed321359@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "800 E Carpenter St",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627694968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.