NPIMap

Individual provider Active NPI

Joseph Michel Mossad, MD

  • Family Medicine Physician
  • Salem, IL
National Provider Identifier
1578183075
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.166734 Issued in IL
Practice address
1201 Ricker Rd
Salem, IL 62881-4263
Phone
(618) 548-3194
NPI assigned
Apr 24, 2020
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.166734 IL Primary
General Practice Physician 208D00000X 036.166734 IL
Hospitalist Physician 208M00000X 036.166734 IL

Addresses

Primary practice location

1201 Ricker Rd
Salem, IL 62881-4263

Mailing address

1201 Ricker Rd
Salem, IL 62881-4263
Phone (618) 548-3194

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219002339 IL Practitioner - Family Practice 5092138750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Township HospitalGroup PAC ID 0840195277, 26 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

1201 Ricker Rd
Salem, IL 62881-4263
Phone 61854831948188

1321 W Whittaker St
STH Family Health Care Center
Salem, IL 62881-2013
Phone 61854831948188

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.166734ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists, LLP Hospitalist CurrentSince Jan 31, 2026 Accepting new patients
Salem Township Hospital CurrentSince Oct 16, 2023 Accepting new patients
Salem Township Hospital CurrentSince Oct 16, 2023 Accepting new patients
Cep America-Illinois Hospitalists Hospitalist CurrentSince Jan 31, 2026 Accepting new patients
Salem Township Hospital Past Accepting new patients
Salem Township Hospital Past Accepting new patients

Locations

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

1321 W Whittaker St
Salem, IL 62881
Phone (618) 548-0200

Organizations & group practices 7

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1578183075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 RICKER RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814263",
            "telephone_number": "618-548-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 RICKER RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814263",
            "telephone_number": "618-548-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSAD",
        "first_name": "JOSEPH",
        "middle_name": "MICHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.166734",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.166734",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.166734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, IL

Sources for this page

Verify at the official NPI Registry.