Active NPI
Eyob Berihun, MD
- Hospitalist Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 036171599
- Practice address
- 4500 Memorial Dr
Belleville, IL 62226-5360 - Phone
- (618) 257-6220
- Fax
- (618) 257-6679
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036171599 | IL | Primary |
| Hospitalist Physician | 208M00000X | D94705 | MD | |
| Internal Medicine Physician | 207R00000X | D94705 | MD |
Addresses
Primary practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Mailing address
20244 Harbor Tree Rd
Montgomery Village, MD 20886-5821
Phone (240) 361-7865
Other practice location 1
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-4000
Other practice location 2
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Other practice location 3
585 Schenectady Ave, Brooklyn
New York, NY 11203-1851
Phone (718) 604-5401
Other names 1
- Eyob Ali
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 MO, IL
- 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
- Hospitalist
- Education
- Other, 1997
- 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
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-4570
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000
Hospital & facility affiliations
- SSM St Joseph Health Center
- Freeman Health System - Freeman West
- Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.87
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D94705 | MD | MD | Internal Medicine Physician |
| 036171599 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Internal Medicine | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Freeman-Oak Hill Health System | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Interoperability endpoints
- eali480553@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Joplin, MO
- NPI 1679517023
Internal Medicine
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1891359949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20244 HARBOR TREE RD",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208865821",
"telephone_number": "240-361-7865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Prince Frederick",
"state": "MD",
"postal_code": "206784017",
"country_code": "US",
"telephone_number": "410-535-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "585 Schenectady Ave, Brooklyn",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "112031851",
"country_code": "US",
"telephone_number": "718-604-5401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERIHUN",
"first_name": "EYOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036171599",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D94705",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D94705",
"primary": false
}
],
"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": "622265360",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "EYOB",
"last_name": "ALI",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 19, 2025; 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.