Individual provider Active NPI

Saleem Mahmood, MD

  • Radiation Oncology Physician
  • Litchfield, IL
National Provider Identifier
1679677678
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036091247 Issued in IL
Practice address
1201 E Union Ave
Litchfield, IL 62056-1700
Phone
(217) 324-1100
Fax
(217) 324-1103
NPI assigned
Sep 11, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD-14509 HI
Radiation Oncology Physician 2085R0001X R5P72 MO
Radiation Oncology Physician 2085R0001X 036091247 IL Primary

Addresses

Primary practice location

1201 E Union Ave
Litchfield, IL 62056-1700

Mailing address

PO Box 483
Litchfield, IL 62056-0483
Phone (217) 324-1100

Other practice location 1

401 E Grant St
Macomb, IL 61455-3311
Phone (309) 836-8400

Other practice location 2

4388 Pahee St
Lihue, HI 96766-2029
Phone (808) 241-4300

Other practice location 3

208 Flax Dr Ste 100
Highland, IL 62249-1396
Phone (618) 882-5621

Other identifiers 1

IdentifierTypeStateIssuer
036091247MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050428000331 IL Practitioner - Radiation Oncology 0143269266 Reassigns benefits to 4 organizations
I20121012000117 HI Practitioner - Radiation Oncology 0143269266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

800 E Carpenter St
Springfield, IL 62702-5324
Phone 217544646444399

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1155FLMDOptometrist
036091247ILMDRadiation Oncology Physician
R5P72MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Litchfield Oncology Institute LTD Radiation Oncology CurrentSince Sep 10, 2001 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Nov 1, 2024 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Nov 1, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 29, 2016 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Radiation Oncology CurrentSince Jan 29, 2016 Accepting new patients
Macomb Oncology Institute LTD Radiation Oncology CurrentSince Dec 17, 2008 Accepting new patients
University of Miami Radiation Oncology Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

567 N Westgate Ave
Jacksonville, IL 62650
Phone (217) 243-8400

1201 E Union Ave
Litchfield, IL 62056
Phone (217) 324-1100

401 E Grant St
Macomb, IL 61455
Phone (309) 836-8400

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

Interoperability endpoints

  • Direct secure messaging: smahmood177139@ewd.direct.hshs.org

Organizations & group practices 8

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 2

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1679677678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620560483",
            "telephone_number": "217-324-1100",
            "fax_number": "217-324-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E UNION AVE",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561700",
            "telephone_number": "217-324-1100",
            "fax_number": "217-324-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Grant St",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "IL",
            "postal_code": "614553311",
            "country_code": "US",
            "telephone_number": "309-836-8400",
            "fax_number": "309-836-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4388 Pahee St",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967662029",
            "country_code": "US",
            "telephone_number": "808-241-4300",
            "fax_number": "808-241-4301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Flax Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622491396",
            "country_code": "US",
            "telephone_number": "618-882-5621",
            "fax_number": "618-332-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "SALEEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "HI",
            "license": "MD-14509",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "R5P72",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036091247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091247",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield, IL

Sources for this page

Verify at the official NPI Registry.