Individual provider Active NPI

Wasey Ali Yadullahi Mir, MD

  • Pulmonary Disease Physician
  • Marion, IL
National Provider Identifier
1972098804
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036.156851 Issued in IL
Practice address
3331 W Deyoung St Ste 109
Marion, IL 62959-5897
Phone
(618) 998-7961
NPI assigned
Jun 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.156851 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036.156851 IL
Pulmonary Disease Physician 207RP1001X 036.156851 IL Primary

Addresses

Primary practice location

3331 W Deyoung St Ste 109
Marion, IL 62959-5897

Mailing address

3331 W Deyoung St Ste 109
Marion, IL 62959-5897
Phone (618) 998-7961

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
I20250711001877 IL Practitioner - Pulmonary Disease 3678958980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

3333 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7000

Hospital & facility affiliations

  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082
  • Deaconess Illinois Crossroads Hospital, Mount Vernon, IL, CCN 140294
  • Deaconess Henderson Hospital Hospital, Henderson, KY, CCN 180056
  • Deaconess Illinois Union County Hospital, Anna, IL, CCN 141342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.156851ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Internal Medicine Current Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

3331 W Deyoung St
Ste 109
Marion, IL 62959
Phone (618) 242-0672

Interoperability endpoints

  • Direct secure messaging: wmir988451@direct.deaconess.com
  • Direct secure messaging: wasey.mir.1@2017.direct.athenahealth.com

Organizations & group practices 3

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1972098804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST STE 109",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595897",
            "telephone_number": "618-998-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST STE 109",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595897",
            "telephone_number": "618-998-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIR",
        "first_name": "WASEY ALI YADULLAHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-23",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.156851",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036.156851",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.156851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.