Active NPI
Mohammad Yaseen, M.D.
- Pediatric Gastroenterology Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 036096361
- Practice address
- 545 Valley View Dr
Moline, IL 61265-6138 - Phone
- (309) 762-5560
- Fax
- (309) 762-7351
- NPI assigned
- Jun 1, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 036096361 | IL | Primary |
Addresses
Primary practice location
545 Valley View Dr
Moline, IL 61265-6138
Mailing address
545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370009042 | Other | IL | RAILROAD MEDICARE |
| 370009042 | Other | IL | RAILROAD MEDICARE |
| 036096361 | Medicaid | IL |
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
- Gastroenterology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480
Phone 5633599696110
545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036096361 | IL | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Gastrointestinal Clinic of Quad Cities, P.C. | Pediatric Gastroenterology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients |
Locations
5041 Utica Ridge Rd
Ste 100
Davenport, IA 52807
Phone (563) 359-5490
7694 Solutions Ctr
Chicago, IL 60677
4340 7th St
Moline, IL 61265
Phone (309) 277-5624
545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180
1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000
Interoperability endpoints
- myaseen92572@direct.unitypoint.org
- mohammad.yaseen@qcg.directbygreenway.com
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Davenport, IA
- NPI 1942380605
IL, Pediatric Gastroenterology
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Pediatrics Physician
- Peoria, IL
- NPI 1467425322
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1437151693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASEEN",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IL",
"license": "036096361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "370009042",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "370009042",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036096361",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.