Individual provider Active NPI

Nada Memon, MD

  • Cardiovascular Disease Physician
  • Alton, IL
National Provider Identifier
1679774384
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036172957 Issued in IL
Practice address
2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569
Phone
(618) 474-6277
Fax
(618) 474-6792
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 036172957 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X 33317 AL
Cardiovascular Disease Physician 207RC0000X 036172957 IL Primary

Addresses

Primary practice location

2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569

Mailing address

2 Saint Anthonys Way Ste 305
Alton, IL 62002-4569
Phone (618) 474-6277

Other practice location 1

273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone (334) 280-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL, MO, 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

Enrollment IDStateProvider typePAC IDDetails
I20101025001409 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7012054992 Reassigns benefits to 1 organization
I20141029001320 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012054992 Reassigns benefits to 3 organizations
I20240828001454 MO Practitioner - Cardiac Electrophysiology 7012054992 Reassigns benefits to 1 organization
I20241230001418 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7012054992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

2 Saint Anthonys Way
Suite 305
Alton, IL 62002-4569
Phone (618) 465-9024

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
65.12
Promoting interoperability
100
Improvement activities
40
Cost
71.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036172957ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Dec 23, 2024 Accepting new patients
The DCH Healthcare Authority CurrentSince Sep 1, 2014 Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Jul 27, 2014 Accepting new patients
Montgomery Cardiovascular Associates, P.C. Cardiovascular Disease CurrentSince Apr 1, 2023 Accepting new patients
West Alabama Physician Associates LLC CurrentSince Jul 27, 2014 Accepting new patients
Ut Physicians Internal Medicine CurrentSince Aug 2, 2010 Accepting new patients
West Alabama Physician Associates, LLC Current Accepting new patients
DCH Healthcare Authority Internal Medicine Current Accepting new patients
SSM Health Care Group Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
The DCH Health Care Authority CurrentSince Sep 1, 2014 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
SSM Health Care Group CurrentSince Sep 1, 2024 Accepting new patients
Ut Physicians CurrentSince Aug 2, 2010 Accepting new patients
SSM-Sluh Inc Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

273 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 280-1511

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

1820 Rice Mine Rd N
Ste 200
Tuscaloosa, AL 35406
Phone (205) 333-4656

701 University Blvd E
Ste 507
Tuscaloosa, AL 35401
Phone (205) 330-3650

701 University Blvd E
Ste 809
Tuscaloosa, AL 35401
Phone (205) 247-2934

701 University Blvd E
Ste 604
Tuscaloosa, AL 35401
Phone (205) 759-6925

2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222

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

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

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000

Interoperability endpoints

  • Direct secure messaging: nmemon518765@direct-ehr-ssmhc.com

Organizations & group practices 16

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.

View all 16

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1679774384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT ANTHONYS WAY STE 305",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024569",
            "telephone_number": "618-474-6277",
            "fax_number": "618-474-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT ANTHONYS WAY STE 305",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024569",
            "telephone_number": "618-474-6277",
            "fax_number": "618-474-6792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 Winton M Blount Loop",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173507",
            "country_code": "US",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEMON",
        "first_name": "NADA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036172957",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "33317",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036172957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.