Active NPI
Mohamed Y Zeater, MD
- Pulmonary Disease Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 036-131070
- Practice address
- 1401 E State St
Rockford, IL 61104 - Phone
- (815) 315-6102
- Fax
- (815) 315-6026
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32311 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 41054 | KY | |
| Pulmonary Disease Physician | 207RP1001X | 036-131070 | IL | Primary |
Addresses
Primary practice location
1401 E State St
Rockford, IL 61104
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01114425 | Other | IL | RAILROAD PIN |
| P00454689 | Other | RAILROAD - MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mzeater659144@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1340 Charles St
Suite 405
Rockford, IL 61104-2200
Phone (779) 696-5353
Hospital & facility affiliations
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32311 | AZ | MD | Internal Medicine Physician |
| 036-131070 | IL | MD | Pulmonary Disease Physician |
| 41054 | KY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Internal Medicine | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Northwest Allied Physicians, LLC | Past | Accepting new patients | |
| Ipn of Arizona, PLC | Internal Medicine | Past | Accepting new patients |
| Northwest Allied Physicians LLC | Internal Medicine | Past | Accepting new patients |
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
Locations
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
1340 Charles St
Ste 405
Rockford, IL 61104
Phone (779) 696-5353
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Hematology & Oncology Physician
- Rockford, IL
- NPI 1730511379
-
- Internal Medicine Physician
- Glendale, AZ
- NPI 1538119284
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1285690958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E STATE ST",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61104",
"telephone_number": "815-315-6102",
"fax_number": "815-315-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEATER",
"first_name": "MOHAMED",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "32311",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "KY",
"license": "41054",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036-131070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PIN",
"identifier": "P01114425",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD - MEDICARE",
"identifier": "P00454689",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mzeater659144@direct.uwhealth.org",
"affiliation": "N",
"address_1": "1401 E State St",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "61104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.