Ahmad Mohamad, M.D
Individual provider Active NPI Nephrology Physician · Springfield, IL
NPI 1891071007 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1891071007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 036160127 (IL)
- Practice address
- 350 W Carpenter St
Springfield, IL 62702-4902 - Phone
- (217) 528-7541
- NPI assigned
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLP
Practice addresses (Care Compare)
1204 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6266
Hospital & facility affiliations
- Memorial Medical Center
- St Johns Hospital
- Jacksonville Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Oct 1, 2024 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Oct 1, 2024 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Oct 1, 2024 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Oct 1, 2024 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Oct 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220801002625 | IL | Practitioner - Nephrology | 2365684107 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.060233 | IL | MD | Internal Medicine Physician |
| 2020020200 | MO | MD | Internal Medicine Physician |
| 036160127 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current |
Accepting new patients | |
| Springfield Clinic LLP | Current |
Accepting new patients |
Locations
1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911
1204 E Tremont St
Hillsboro, IL 62049
Phone (217) 324-8730
401 E Carpenter St
Springfield, IL 62702
Phone (217) 527-3700
350 W Carpenter St
Springfield, IL 62702
Phone (217) 525-0210
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- ahmad.mohamad.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020020200 | MO | |
| Internal Medicine Physician | 207R00000X | 125.060233 | IL | |
| Nephrology Physician | 207RN0300X | 036160127 | IL | Yes |
Addresses
Primary practice location
350 W Carpenter St
Springfield, IL 62702-4902
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Other providers in Springfield, IL
- Modern Dental of Springfield PLLC
- Sonya Modi
- Daniel Joseph Moffett
- Jay M. Mogerman
- Christopher L Mogren
- Shahed Mohamed
- Asiya Sumreen Mohammed
- Shereen M Mohammed
- Ashley Rachel Mohan
- Sanaz Moharram-Zadeh
All providers in Springfield, IL · Nephrology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.