Ahmed Mohamed Agameya, M.D
Individual provider Active NPI Pulmonary Disease Physician · Peoria, IL
NPI 1386199495 · NPPES record last updated Aug 2, 2022
Key facts
- NPI
- 1386199495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 036.15842 (IL)
- Practice address
- 900 Main St Ste 630
Peoria, IL 61602-5024 - Phone
- (309) 627-4433
- NPI assigned
- Aug 18, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle Health Care Incorporated
Methodist Medical Center of Illinois
Practice addresses (Care Compare)
221 NE Glen Oak Ave
Peoria, IL 61636-0001
600 S 13TH St
Pekin, IL 61554-4936
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
900 Main St
Suite 280
Peoria, IL 61602-5008
Phone (309) 643-6118
900 Main St
Suite 630
Peoria, IL 61602-5024
Phone (309) 672-4433
Hospital & facility affiliations
- Carle Health Methodist Hospital
- Carle Health Pekin Hospital
- Carle Health Proctor Hospital
- Saint Francis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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 |
|---|---|---|---|---|
| I20220714001841 | IL | Practitioner - Internal Medicine |
0345621827 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.15842 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current |
Accepting new patients | |
| Pekin Prohealth Inc | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Pulmonary Disease | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
600 S 13th St
#L
Pekin, IL 61554
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
900 Main St
Ste 630
Peoria, IL 61602
Phone (309) 627-4433
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- aagameyamd388554@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036.15842 | IL | Yes |
Addresses
Primary practice location
900 Main St Ste 630
Peoria, IL 61602-5024
Mailing address
900 Main St Ste 630
Peoria, IL 61602-5024
Phone (309) 672-4433
Other providers in Peoria, IL
- Aeon Social Emotional Health LTD.
- Affiliated Urology Specialists, LTD.
- Affinity Dental Peoria LLC
- Affinity Women'S Health Care, SC
- Affordable Dentures- Peoria, P.C
- Devashish Agarwal
- Juanita Rodriguez Aguila-Corrales
- Christopher Chibuike Agusi
- Justin Ahlman
- Benjamin Henry Ahlrichs
All providers in Peoria, IL · Pulmonary 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 Aug 2, 2022. 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.