Issa Abedmahmoud, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036097793 Issued in IL

Practice address

3020 S Park Ave
Herrin, IL 62948-3721

Phone

(618) 988-1877

Fax

(618) 988-8578

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

EndocrinologyAlso: Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ahuja Bariatric and BeyondGroup PAC ID 6901289347, 6 clinicians

Marshall Browning Hospital AssociationGroup PAC ID 9335049980, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331
• Herrin Hospital Hospital, Herrin, IL, CCN 140011
• Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
• Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307
• St Joseph Memorial Hospital Hospital, Murphysboro, IL, CCN 141334

Merit-based Incentive Payment System (MIPS)

Final score

98.82 of 100Reported as group

Quality

100

Improvement activities

40

Cost

69.79

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: issa.abed@mbhdq.medalliesdirect.net
• Direct secure messaging: ahujabariatricandbeyond.issaabedmahmoud@153356.advancedmd-direct.com
• FHIR API: https://fa120b5c-6699-49eb-9b43-fa51a183b3cb.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Ahuja Bariatric & Beyond

  • Surgery Physician
  • Mount Vernon, IL
  • NPI 1053043885

  IL

  Medicare reassignment Care Compare group NPD
• Marshall Browning Hospital Association

  • Critical Access Hospital
  • Du Quoin, IL
  • NPI 1821099441

  IL

  Medicare reassignment Care Compare group NPD
• Marshall Browning Hospital Association

  • Rural Health Clinic/Center
  • Du Quoin, IL
  • NPI 1912490277
  Care Compare group NPD
• Marshall Browning Hospital Association

  • Rural Health Clinic/Center
  • Du Quoin, IL
  • NPI 1164666988
  Care Compare group NPD (past)
• Southern Illinois Gi Specialists LLC

  • Gastroenterology Physician
  • Carbondale, IL
  • NPI 1093775405
  NPD (past)

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

• Marshall Browning Hospital Association

  • Critical Access Hospital
  • Du Quoin, IL
  • NPI 1821099441

  Hospital

  Care Compare affiliation
• Pinckneyville Community Hospital

  • Critical Access Hospital
  • Pinckneyville, IL
  • NPI 1689646523

  Hospital

  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Carbondale, IL
  • NPI 1093801797

  Hospital

  Care Compare affiliation
• Southern Illinois Hospital Services

  • Critical Access Hospital
  • Murphysboro, IL
  • NPI 1356435135

  Hospital

  Care Compare affiliation
• Southern Illinois Hospital Services

  • General Acute Care Hospital
  • Herrin, IL
  • NPI 1528158573

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1528042975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1096",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629481096",
            "telephone_number": "618-988-1877",
            "fax_number": "618-988-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483721",
            "telephone_number": "618-988-1877",
            "fax_number": "618-988-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEDMAHMOUD",
        "first_name": "ISSA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036097793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATHLINK",
            "identifier": "416686",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP ACCESS",
            "identifier": "59806",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097793",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "10023061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEATLH ALLIANCE",
            "identifier": "050625",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A Pramote MD SC
• Abs Affordable Cab
• Nasrah Serwah Acheampong
• Allie Adams, AU.D.
• Robyn Lyn Adams
• Sydney Allen, PTA

• All providers in Herrin, IL
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.

Verify at the official NPI Registry.