NPIMap

Individual provider Active NPI

Mohammed Haseeb, M.D.

  • Cardiovascular Disease Physician
  • Mount Vernon, IL
National Provider Identifier
1275692238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036084325 Issued in IL
Practice address
4204 Williamson PL
Mount Vernon, IL 62864-6705
Phone
(618) 244-2525
Fax
(618) 244-3666
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036084325 IL Primary

Addresses

Primary practice location

4204 Williamson PL
Mount Vernon, IL 62864-6705

Mailing address

PO Box 789
4204 Williamson Place
Mount Vernon, IL 62864-0016
Phone (618) 244-2525

Other identifiers 1

IdentifierTypeStateIssuer
036084325MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000962 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6204862170 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

4204 Williamson Place
Mount Vernon, IL 62864-6705
Phone (618) 244-2525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.77 of 100Reported as group
Quality
85.58
Promoting interoperability
100
Improvement activities
40
Cost
76.99

Merit-based Incentive Payment System (MIPS)

Final score
99.02 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair14

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Vernon Heart Institute LTD Cardiovascular Disease CurrentSince Aug 1, 2005 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jun 12, 2018 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Aug 22, 2025 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jun 12, 2018 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
T Clinic LLC Past Accepting new patients

Locations

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

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

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

4204 Williamson Pl
Mount Vernon, IL 62864
Phone (618) 242-0600

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

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

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

Interoperability endpoints

  • Direct secure messaging: mhaseeb@mtvern.curemd.direct-ci.com

Organizations & group practices 7

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.

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275692238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "address_2": "4204 WILLIAMSON PLACE",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640016",
            "telephone_number": "618-244-2525",
            "fax_number": "618-244-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 WILLIAMSON PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-244-2525",
            "fax_number": "618-244-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEEB",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036084325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084325",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IL

Sources for this page

Verify at the official NPI Registry.