Individual provider Active NPI

Mohammad Yaseen, M.D.

  • Pediatric Gastroenterology Physician
  • Moline, IL
National Provider Identifier
1437151693
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
036096361 Issued in IL
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

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
370009042OtherILRAILROAD MEDICARE
370009042OtherILRAILROAD MEDICARE
036096361MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050613000015 IA Practitioner - Gastroenterology 5496748428 Reassigns benefits to 1 organization
I20100604000969 IL Practitioner - GastroenterologyPractitioner - Pediatric Medicine 5496748428 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Clinic of Quad Cities PCGroup PAC ID 6608768353, 9 clinicians

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

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036096361ILMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois CurrentSince Sep 21, 2010 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 CurrentSince Sep 1, 2020 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 21, 2010 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

  • Direct secure messaging: myaseen92572@direct.unitypoint.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.