Mohammed Al-Zoubaidi MD PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MOHAMMED AL-ZOUBAIDI MD PLLC

Doing business as

Al-Zoubaidi Vein and Vascular center of southern Illinois

Practice address

4119 S. Water Tower PLC, Suite a
Mt. Vernon, IL 62864

Phone

(618) 681-1188

NPI assigned

May 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Al-Zoubaidi, MDNPI 1063606432

Title

Owner

Phone

(618) 681-1188

Specialties & licenses 1

Addresses

Other names 1

• Al-Zoubaidi Vein and Vascular center of southern Illinois Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammed Al-Zoubaidi, M.D

  • Vascular Surgery Physician
  • Mount Vernon, IL
  • NPI 1063606432
  Medicare reassignment Care Compare group NPD Authorized official
• Heather Dawn Davis, APRN,FNP-C

  • Nurse Practitioner
  • Mount Vernon, IL
  • NPI 1053880781
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1710734090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 S. WATER TOWER PLC, SUITE A",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 S. WATER TOWER PLC, SUITE A",
            "city": "MT. VERNON",
            "state": "IL",
            "postal_code": "62864",
            "telephone_number": "618-681-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED AL-ZOUBAIDI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-07-29",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "AL-ZOUBAIDI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-681-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Al-Zoubaidi Vein and Vascular center of southern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Paul Mlot, M.D.
• Modert Family Practice, LTD.
• Christopher Wilson Modert, D.O.
• Sara Kneedler Modert, D.O.
• Ahmed Salem Mohamed, MD
• Shaji A Mohammed
• Robert Mooney, LCPC
• Judith C Morgan, RN/BA/CADC
• Mount Vernon Chiropractic Clinic
• Mount Vernon Emergency Group PC

• Vascular Surgery Physician in Mt. Vernon, IL
• Providers in Mt. Vernon, IL by specialty
• Vascular Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.