Individual provider Active NPI

Ahmed Mohamed Agameya, M.D

  • Pulmonary Disease Physician
  • Peoria, IL
National Provider Identifier
1386199495
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036.15842 Issued in IL
Practice address
900 Main St Ste 630
Peoria, IL 61602-5024
Phone
(309) 627-4433
NPI assigned
Aug 18, 2016
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036.15842 IL Primary

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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714001841 IL Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0345621827 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.15842ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Pulmonary Disease CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jul 25, 2022 Accepting new patients
Pekin Prohealth Inc CurrentSince Jul 25, 2022 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
Pekin, IL 61554
Phone (309) 347-1151

600 S 13th St
#L
Pekin, IL 61554

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

900 Main St
Ste 630
Peoria, IL 61602
Phone (309) 627-4433

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: aagameyamd388554@carlehiedirect.net

Organizations & group practices 4

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 4

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1386199495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 630",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025024",
            "telephone_number": "309-672-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 630",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025024",
            "telephone_number": "309-627-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAMEYA",
        "first_name": "AHMED",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.15842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.