Individual provider Active NPI

Adnan A Muhsin, M.D.

  • Internal Medicine Physician
  • Dixon, IL
National Provider Identifier
1942278502
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-085012 Issued in IL
Practice address
102 S Hennepin Ave
Dixon, IL 61021
Phone
(815) 284-7733
Fax
(815) 285-8929
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-085012 IL Primary

Addresses

Primary practice location

102 S Hennepin Ave
Dixon, IL 61021

Mailing address

305 E Joe Dr
P.O. Box 231
Amboy, IL 61310-9492
Phone (815) 857-3944

Other practice location 1

305 E Joe Dr
Amboy, IL 61310-9492
Phone (815) 857-3944

Other identifiers 1

IdentifierTypeStateIssuer
036085012MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101130001339 IL Practitioner - Internal Medicine 2062608177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

102 S Hennepin Ave
Suite 201
Dixon, IL 61021-3013
Phone (815) 288-7711

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
60.49
Promoting interoperability
100
Improvement activities
40
Cost
77.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-085012ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KSB Medical Group, Inc. Internal Medicine Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Dec 17, 2024 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients

Locations

305 Joe Dr E
Amboy, IL 61310
Phone (815) 857-3044

215 E 1st St
Ste 215
Dixon, IL 61021
Phone (815) 285-5420

144 North Ct
Dixon, IL 61021
Phone (815) 284-7733

215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900

102 S Hennepin Ave
Dixon, IL 61021
Phone (815) 285-8520

215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477

102 S Hennepin Ave
Ste 103
Dixon, IL 61021
Phone (815) 284-7733

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534896000000",
    "number": "1942278502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E JOE DR",
            "address_2": "P.O. BOX 231",
            "city": "AMBOY",
            "state": "IL",
            "postal_code": "613109492",
            "telephone_number": "815-857-3944",
            "fax_number": "815-857-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S HENNEPIN AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "61021",
            "telephone_number": "815-284-7733",
            "fax_number": "815-285-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Joe Dr",
            "address_purpose": "LOCATION",
            "city": "Amboy",
            "state": "IL",
            "postal_code": "613109492",
            "country_code": "US",
            "telephone_number": "815-857-3944",
            "fax_number": "815-857-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUHSIN",
        "first_name": "ADNAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2018-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-085012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085012",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.