Shakeel Ahmed, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

036107831 Issued in IL

Practice address

5023 N Illinois St
Fairview Heights, IL 62208-3453

Phone

(618) 239-0678

Fax

(618) 235-0471

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Gastroenterology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Gastrointestinal Health SCGroup PAC ID 3678549268, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Belleville, IL, CCN 140185
• HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
• Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162

Merit-based Incentive Payment System (MIPS)

Final score

92.33 of 100Reported as individual

Quality

85

Improvement activities

40

Cost

88

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Center for Gastrointestinal Health, SC

  • Gastroenterology Physician
  • Fairview Heights, IL
  • NPI 1477753176
  Medicare reassignment Care Compare group Authorized official
• Metroeast Endoscopic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fairview Heights, IL
  • NPI 1063838357
  Medicare reassignment Authorized official
• O'Fallon Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • O Fallon, IL
  • NPI 1770042111
  NPD (past) Authorized official
• Elite Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Louis, MO
  • NPI 1841858735
  NPD (past) Authorized official
• Center for Gastrointestinal Health

  • Clinical Medical Laboratory
  • Fairview Heights, IL
  • NPI 1790106151
  NPD (past)

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

• Protestant Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1982796181
  Care Compare affiliation
• St Elizabeths Hospital of the Hospital Sisters of the Third Order

  • General Acute Care Hospital
  • O Fallon, IL
  • NPI 1629057302
  Care Compare affiliation
• Barnes Jewish West County Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1831107895
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1699792143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083453",
            "telephone_number": "618-239-0678",
            "fax_number": "618-235-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083453",
            "telephone_number": "618-239-0678",
            "fax_number": "618-235-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAKEEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036107831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "008232127",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107831",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A & R Homecare LLC
• Advanced Cardiology and Vascular Services, LLC
• Advanced in Home Respiratory 24, LLC
• Affordable Eyecare LLC
• Kathryn Agnew
• Ali Albers, FNP
• Wyndi Allen-Todd
• Jennifer Allen
• Sarah Je Allen, RN
• Ellyse Sunshine Amarillas, RN

• Gastroenterology Physician in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.