Active NPI
Mohamed A Gashouta, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Galesburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 036167903
- Practice address
- 3315 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-1000
- Fax
- (309) 344-2405
- NPI assigned
- Jun 20, 2012
- Last updated
- Feb 28, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036167903 | IL | Primary |
| Pulmonary Disease Physician | 207RP1001X | MD-45724 | IA |
Addresses
Primary practice location
3315 N Seminary St
Galesburg, IL 61401-1251
Mailing address
1221 S Gear Ave
West Burlington, IA 52655-1679
Phone (319) 850-7425
Other practice location 1
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 850-7425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 S Gear Ave
West Burlignton, IA 52655-1679
Phone (319) 768-1000
1223 S Gear Ave
Suite 304
West Burlington, IA 52655-1689
Phone (319) 768-3240
3315 N Seminary St
Suite 201
Galesburg, IL 61401-1251
Phone (309) 344-1000
5445 Ave O
Fort Madison, IA 52627-9611
Phone (319) 376-2134
Hospital & facility affiliations
- Southeast Iowa Regional Medical Center
- St Mary Medical Center
- Henry County Health Center
- Saint Francis Medical Center
- University of Iowa Hospital & Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.06 of 100
- Quality
- 64.36
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.01
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036167903 | IL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Internal Medicine | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Henry County Health Center, Inc. | Current | Accepting new patients | |
| Henry County Health Center Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Cardinal Medical Group, LTD. | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
3285 Main St
Keokuk, IA 52632
Phone (319) 524-6274
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
1223 S Gear Ave
Ste 304
West Burlington, IA 52655
Phone (319) 758-6600
3315 N Seminary St
Galesburg, IL 61401
Phone (309) 344-1000
3315 N Seminary St
Ste 201
Galesburg, IL 61401
Phone (309) 344-1000
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- General Practice Physician
- Mt Pleasant, IA
- NPI 1871177477
-
- Critical Access Hospital
- Mt Pleasant, IA
- NPI 1811571417
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
-
- Critical Access Hospital
- Mt Pleasant, IA
- NPI 1811571417
-
dba Southeast Iowa Regional Medical Center
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
-
dba University of Iowa Health Care Medical Center
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740700800000",
"number": "1427311877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S GEAR AVE",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551679",
"telephone_number": "319-850-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-344-1000",
"fax_number": "309-344-2405"
}
],
"practiceLocations": [
{
"address_1": "1221 S Gear Ave",
"address_purpose": "LOCATION",
"city": "West Burlington",
"state": "IA",
"postal_code": "52655",
"country_code": "US",
"telephone_number": "319-850-7425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASHOUTA",
"first_name": "MOHAMED",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036167903",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "MD-45724",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.