Mohammad G Soud, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36091049 Issued in IL

Practice address

6012 N Teal Wood Cir
Peoria, IL 61615-2231

Phone

(309) 691-9312

NPI assigned

May 23, 2007

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

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

Pediatric Medicine

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  NPD
• Saint Anthony Medical Center

  • Emergency Medicine Physician
  • Rockford, IL
  • NPI 1326086281
  NPD
• Saint Anthony Medical Center

  • Rural Health Clinic/Center
  • Loves Park, IL
  • NPI 1558067975
  NPD
• Saint Anthony Medical Center

  • Hematology & Oncology Physician
  • Rockford, IL
  • NPI 1942248802
  NPD
• Central PA Pharmacy LLC.

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902016256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012 N TEAL WOOD CIR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152231",
            "telephone_number": "309-691-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012 N TEAL WOOD CIR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152231",
            "telephone_number": "309-691-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUD",
        "first_name": "MOHAMMAD",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "36091049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sono Graphic Solutions, Inc.
• Saad Latif Soofi, DDS
• Nathan Alexander Soria, MD
• Johan W Sosa de la Cruz, MD
• Joseph A Sottile, M.D.
• Sounds Good
• South Side Office of Concern
• South Side Office of Concern
• Abdul Rehman Sozzer, D.O.
• Franklin M Spalding, DDS

• Pediatrics Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.