DR. AHMED SALEM MOHAMED MD
NPI 1053633461
Specialist in Mount Vernon, IL

Active since February 26, 2010PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
412 S 34TH ST STE 101, MOUNT VERNON, IL 62864(618) 231-6121(618) 615-4380 Get Directions Write a Review

NPPES record last updated: December 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2022, Feb 24, 2019, Aug 10, 2016 and 2 more (5 updates tracked since 2016).

About Dr. Ahmed Salem Mohamed Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AHMED SALEM MOHAMED MD (NPI 1053633461) is an individual specialist in Mount Vernon, Illinois, licensed in Illinois (036136254) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053633461
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. AHMED SALEM MOHAMEDCredential: MD
Location Address412 S 34TH ST STE 101Mount Vernon, IL 62864-6021
Mailing Address412 S 34th St Ste 101Mount Vernon, IL 62864-6021 · (618) 231-6121 · Fax (618) 615-4380
Fax(618) 615-4380
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 26, 2010
Last NPPES UpdateDecember 11, 20225 updates tracked since enumeration
NPPES CertifiedDecember 11, 2022
NPI 1053633461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036136254
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

412 S 34TH ST STE 101, Mount Vernon, IL 62864

Secondary Practice Locations 2

Location 110012 Manchester RdSaint Louis, MO 63122-1826 · Phone (314) 948-8414 · Fax (618) 615-4380
Location 2741 Insight AveO Fallon, IL 62269-2193 · Phone (618) 231-6121 · Fax (618) 615-4380

Other Identifiers 1

Medicaid036136254IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ahmed Salem Mohamed Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284805755
PECOS Enrollment IDI20150122001045
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
359 services197 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
120 services120 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
96 services33 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
90 services20 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
35 services28 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
31 services31 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number141345
Location1201 Ricker DriveSalem, IL 62881 · Marion County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$28.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
412 S 34TH ST STE 101
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053633461, enumerated as an "individual" on February 26, 2010.

The provider is located at 412 S 34TH ST STE 101 MOUNT VERNON, IL 62864 and the phone number is (618) 231-6121.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Ahmed Mohamed is affiliated with: SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA, GOOD SAMARITAN REGIONAL HLTH CENTER, CROSSROADS COMMUNITY HOSPITAL, HAMILTON MEMORIAL HOSPITAL and SALEM TOWNSHIP HOSPITAL.