Active NPI
Mohammed Ismail Al Hamati, MD
- Hospitalist Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2020007033
- Practice address
- 4500 Memorial Dr
Belleville, IL 62226 - Phone
- (618) 257-6220
- Fax
- (618) 257-6679
- NPI assigned
- May 11, 2015
- Last updated
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020007033 | MO | |
| Hospitalist Physician | 208M00000X | 036-145274 | IL | |
| Hospitalist Physician | 208M00000X | 2020007033 | MO | Primary |
Addresses
Primary practice location
4500 Memorial Dr
Belleville, IL 62226
Mailing address
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other practice location 2
201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171
Other practice location 3
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020007033 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC. | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists | Hospitalist | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Southern Illinois Medical Services, NFP | Internal Medicine | Current | Accepting new patients |
| Cep America-Illinois Hospitalists, LLP | Internal Medicine | Current | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
405 W Jackson St
Carbondale, IL 62901
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
Interoperability endpoints
- malhamati431432@direct-ehr-ssmhc.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
dba SIH Medical Group
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Hospitalist Physician
- Breese, IL
- NPI 1639678790
Internal Medicine
-
dba BJC Medical Group of Illinois
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
dba Clinton County Rural Health
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
dba St. Joseph's Hospital
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1851779920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-257-6220",
"fax_number": "618-257-6679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62226",
"telephone_number": "618-257-6220",
"fax_number": "618-257-6679"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 S 14th St",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629483631",
"country_code": "US",
"telephone_number": "618-942-2171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AL HAMATI",
"first_name": "MOHAMMED",
"middle_name": "ISMAIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2020007033",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-145274",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2020007033",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4500 Memorial Dr",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "62226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.