Individual provider Active NPI

Bilal Ali Mohamed, D.O

  • Hospitalist Physician
  • Normal, IL
National Provider Identifier
1669822318
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DO-05738 Issued in IA
Practice address
1300 Franklin Ave Ste 110
Normal, IL 61761-3799
Phone
(309) 268-3502
NPI assigned
Jun 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X DO-05738 IA Primary
Family Medicine Physician 207Q00000X 125.068964 IL
Family Medicine Physician 207Q00000X DO-05738 IA

Addresses

Primary practice location

1300 Franklin Ave Ste 110
Normal, IL 61761-3799

Mailing address

1300 Franklin Ave Ste 110
Normal, IL 61761-3799
Phone (309) 268-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190830001717 IL Practitioner - Hospitalist 8325330509 Reassigns benefits to 4 organizations
I20210824001538 IA Practitioner - HospitalistPractitioner - Family Practice 8325330509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000

3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161

3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 676-0766

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067
  • Osf Holy Family Medical Center Hospital, Monmouth, IL, CCN 141318
  • Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05738IAMDFamily Medicine Physician
125.068964ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jan 15, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 1, 2021 Accepting new patients
Proctor Health Systems CurrentSince Aug 19, 2019 Accepting new patients
Proctor Health Systems Family Medicine CurrentSince Aug 19, 2019 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 19, 2019 Accepting new patients
Proctor Health Systems Family Medicine Current Accepting new patients
Pekin Prohealth Inc Family Medicine CurrentSince Aug 19, 2019 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

5401 N Knoxville Ave
Ste 204
Peoria, IL 61614
Phone (309) 683-1200

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A1
Peoria, IL 61602

221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1669822318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE STE 110",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613799",
            "telephone_number": "309-268-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FRANKLIN AVE STE 110",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613799",
            "telephone_number": "309-268-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "BILAL",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "DO-05738",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.068964",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.