NPIMap

Individual provider Active NPI

Girish R Mood, MD

  • Interventional Cardiology Physician
  • Belleville, IL
National Provider Identifier
1487755518
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
14145 Issued in ND
Practice address
340 W Lincoln St
Suite 400
Belleville, IL 62220-1900
Phone
(618) 233-6044
NPI assigned
Sep 25, 2006
Last updated
Jan 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35086063 OH
Cardiovascular Disease Physician 207RC0000X 036133156 IL
Cardiovascular Disease Physician 207RC0000X TP573 KY
Interventional Cardiology Physician 207RI0011X 14145 ND Primary

Addresses

Primary practice location

340 W Lincoln St
Suite 400
Belleville, IL 62220-1900

Mailing address

340 W Lincoln St
Suite 400
Belleville, IL 62220-1900
Phone (618) 233-6044

Other identifiers 3

IdentifierTypeStateIssuer
2586705MedicaidOH
7100360210MedicaidKY
201320850MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, ND, MT4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050824000508 OH Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4789615246 Reassigns benefits to 1 organization
I20150915000442 KY Practitioner - Cardiovascular Disease (Cardiology) 4789615246 Reassigns benefits to 2 organizations
I20160721001345 ND Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4789615246 Reassigns benefits to 1 organization
I20251215003314 MT Practitioner - Cardiovascular Disease (Cardiology) 4789615246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

1833 E Bismarck Expressway
Sanford Health Chiropractic
Bismarck, ND 58501-4436
Phone (701) 323-5222

222 N 7TH St
Bismarck, ND 58501-4436
Phone (701) 323-6000

300 N 7TH St
Bismarck, ND 58501-4439
Phone (701) 323-6000

3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as group
Quality
89.39
Promoting interoperability
100
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
TP573KYMDCardiovascular Disease Physician
35086063OHMDCardiovascular Disease Physician
14145NDMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roshan K Mathew, MD. P.S.C. Cardiovascular Disease CurrentSince Nov 1, 2020 Accepting new patients
Billings Clinic CurrentSince Dec 4, 2025 Accepting new patients
Billings Clinic Cardiovascular Disease CurrentSince Dec 4, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 10, 2017 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD CurrentSince Feb 8, 2017 Accepting new patients
Sanford Bismarck CurrentSince Oct 12, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 10, 2017 Accepting new patients
Cogent Healthcare of Michigan PC Past Accepting new patients
Cardiology Consultants LTD Cardiovascular Disease Past Accepting new patients
Prairie Cardiovascular Consultants LTD Cardiovascular Disease PastSince Sep 20, 2010 Accepting new patients

Locations

2 Trillium Way
Ste 210
Corbin, KY 40701
Phone (606) 523-3038

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

3110 Fairview Dr
Owensboro, KY 42303
Phone (270) 240-2129

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2603 E Broadway Ave
Bismarck, ND 58501
Phone (701) 323-5222

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

Organizations & group practices 12

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1487755518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W LINCOLN ST",
            "address_2": "SUITE 400",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201900",
            "telephone_number": "618-233-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W LINCOLN ST",
            "address_2": "SUITE 400",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201900",
            "telephone_number": "618-233-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOD",
        "first_name": "GIRISH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-01-08",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35086063",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036133156",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "TP573",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "ND",
            "license": "14145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2586705",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100360210",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201320850",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.