Fadol Mohamed, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036168028 Issued in IL

Practice address

560 Osborn Blvd
Sault Sainte Marie, MI 49783-1961

Phone

(906) 632-1800

NPI assigned

May 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MI, IA, IL4 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 4

Specialty

Internal Medicine

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Iowa Hospital CorporationGroup PAC ID 0749198026, 139 clinicians

Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146
• Gibson Community Hospital Hospital, Gibson City, IL, CCN 141317
• Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189
• Carle Hoopeston Regional Health Center Hospital, Hoopeston, IL, CCN 141316

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fmohamed1029674@direct.unitypoint.org
• Direct secure messaging: fmohamedmd407430@carlehiedirect.net

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.

• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  Medicare reassignment Care Compare group NPD
• Northwest Iowa Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550
  Medicare reassignment Care Compare group NPD
• Hartford Hospital

  • Surgery Physician
  • Hartford, CT
  • NPI 1407806391

  Internal Medicine

  Medicare reassignment NPD
• Hartford Hospital

  • General Acute Care Hospital
  • Hartford, CT
  • NPI 1770696643
  Medicare reassignment NPD
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1154425288
  Medicare reassignment NPD
• Prairie Cardiovascular Consultants LTD

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1982714218

  Cardiovascular Disease

  Medicare reassignment NPD
• The Finley Hospital

  • Family Medicine Physician
  • Dubuque, IA
  • NPI 1073560462
  Medicare reassignment NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  • Hospitalist Physician
  • New Britain, CT
  • NPI 1063461481

  Internal Medicine

  Medicare reassignment NPD
• Mymichigan Medical Center Sault

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sault Sainte Marie, MI
  • NPI 1639190382
  Medicare reassignment
• Mymichigan Medical Center Sault

  • Anesthesiology Physician
  • Sault Sainte Marie, MI
  • NPI 1457305674
  NPD
• Mymichigan Medical Center Sault

  • Anatomic Pathology & Clinical Pathology Physician
  • Sault Sainte Marie, MI
  • NPI 1518819739
  NPD
• Mymichigan Medical Center Sault

  • Family Medicine Physician
  • Sault Sainte Marie, MI
  • NPI 1699832279
  NPD

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

• Carle Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Danville, IL
  • NPI 1225194533

  Hospital

  Care Compare affiliation
• Gibson Area Hospital Ambulance Service

  • Land Ambulance
  • Gibson City, IL
  • NPI 1306854179

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Rural Health Clinic/Center
  • Watseka, IL
  • NPI 1043720691

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Urology Physician
  • Gibson City, IL
  • NPI 1043813454

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Rural Health Clinic/Center
  • Forrest, IL
  • NPI 1063462976

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Pulmonary Disease Physician
  • Gibson City, IL
  • NPI 1114507753

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  Care Compare affiliation
• Gibson Community Hospital Association

  • Cardiovascular Disease Physician
  • Gibson City, IL
  • NPI 1134540750

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Rural Health Clinic/Center
  • Gibson City, IL
  • NPI 1154702181

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Rheumatology Physician
  • Gibson City, IL
  • NPI 1174262968

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Medical Oncology Physician
  • Gibson City, IL
  • NPI 1245979020

  Hospital

  Care Compare affiliation
• Gibson Community Hospital Association

  • Rural Health Clinic/Center
  • Cissna Park, IL
  • NPI 1356884993

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1578090734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831822",
            "telephone_number": "906-635-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 OSBORN BLVD",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831961",
            "telephone_number": "906-632-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "FADOL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036168028",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "69999",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "036168028",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary D Miller, MSN, RN,
• Tara Michelle Miller, NP
• Cali Pearl Millette, LPC, NCC
• Melanie Minta
• Lily Mitchell
• Miranda Kaye Mohr
• Tara L Moore, D.O.
• Kiley Marie Morgan
• Paul Morrison
• Molly Jane Mrozek

• Cardiovascular Disease Physician in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.