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MUHAMMAD ALI NAVEED
NPI 1093291502
Hospitalist in Normal, IL

Active since July 17, 2018PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1300 FRANKLIN AVE STE 380, NORMAL, IL 61761(309) 268-3598(309) 268-2536 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Feb 9, 2024, Dec 16, 2022 and 2 more (5 updates tracked since 2018).

About Muhammad Ali Naveed NPPES

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

MUHAMMAD ALI NAVEED (NPI 1093291502) is an individual hospitalist provider in Normal, Illinois, licensed in Illinois (036167023) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1093291502
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMUHAMMAD ALI NAVEED
Location Address1300 FRANKLIN AVE STE 380Normal, IL 61761-4266
Mailing Address1300 Franklin Ave Ste 380Normal, IL 61761-4266 · (309) 268-3598 · Fax (309) 268-2536
Phone(309) 268-3598
Fax(309) 268-2536
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 17, 2018
Last NPPES UpdateApril 29, 20245 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1093291502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in IL · 036167023✔ Licensed in NY · 311397
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1300 FRANKLIN AVE STE 380, Normal, IL 61761
Open in Google Maps ↗

Secondary Practice Locations 7

Location 11425 Portland AveRochester, NY 14621-3001 · Phone (585) 922-4000
Location 21555 Long Pond RdRochester, NY 14626-4122 · Phone (585) 723-7870 · Fax (585) 723-7871
Location 31200 Driving Park AveNewark, NY 14513-1090 · Phone (315) 359-2123 · Fax (585) 359-2167
Location 4127 North StBatavia, NY 14020-1631 · Phone (585) 343-6030 · Fax (585) 344-7434
Location 52 Coulter RdClifton Springs, NY 14432-1122 · Phone (315) 462-1472 · Fax (315) 462-2639
Location 61800 E Lake Shore DrDecatur, IL 62521-3810 · Phone (217) 464-5811
Location 7800 East Carpenter StreetSpringfield, IL 62769 · Phone (217) 544-6464

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Muhammad Ali Naveed 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 ID1951640580
PECOS Enrollment IDI20231019002876
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Muhammad Ali Naveed reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Bromenn Medical Center
Same address
Clinic/Center
1300 FRANKLIN AVE STE 100
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
NPI 1104442615 (309) 454-1400
Carle West Physician Group Inc
Same address
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Cep America-Illinois Hospitalists
2.1 mi
Hospitalist
2200 E WASHINGTON ST
Bloomington, IL 61701
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1669276523 (309) 662-3311
Carle Eureka Hospital
21 mi
Critical Access
101 S MAJOR ST
Eureka, IL 61530
  • Reassigned Medicare billing, Illinois enrollment
  • 97 clinicians in this Medicare group
NPI 1184644023 (309) 467-2371
Carle Health Medical Group
49 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
United Memorial Medical Center
584 mi
Hematology & Oncology
127 NORTH ST, SECOND FLOOR
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1508260704 (585) 344-5252
The Unity Hospital Of Rochester
609 mi
Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1720471246 (585) 426-1234
Rochester General Hospital
611 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100
Clifton Springs Sanitarium Co
635 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
Newark Wayne Community Hospital
638 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
422 services409 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
116 services114 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services23 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

St Francis Hospital

Critical Access Hospitals · Litchfield, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141350
Location1215 Franciscan DrLitchfield, IL 62056 · Montgomery County
Emergency services Birthing friendly

Jacksonville Memorial Hospital

Critical Access Hospitals · Jacksonville, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141352
Location1600 W Walnut StJacksonville, IL 62650 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

PIOTR PAWEL KROLIKOWSKI MD
Hospitalist
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
KERLINE DUCTAN M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
DR. BIJOY SHANKAR KAR M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
ENRIQUE FRANCISCO MARTINEZ TREVINO M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
ANAND OROSKAR M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
DR. DANIEL ENYINNAYA NWANKWO M.D.
Internal Medicine
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598
SULAIMAN SULTAN M.D.
Hospitalist
1300 FRANKLIN AVE STE 380
NORMAL, IL 61761
McLean County (309) 268-3598

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muhammad Ali Naveed's NPI number?

The NPI number for Muhammad Ali Naveed is 1093291502. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Muhammad Ali Naveed located?

Muhammad Ali Naveed practices at 1300 Franklin Ave Ste 380, Normal, IL 61761. The listed phone number is (309) 268-3598.

What is Muhammad Ali Naveed's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Muhammad Ali Naveed enrolled in Medicare?

Yes. Muhammad Ali Naveed is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Muhammad Ali Naveed's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Ali Naveed reassigns Medicare benefits to 10 organizations: Carle Bromenn Medical Center (Normal, IL), Carle West Physician Group Inc (Normal, IL), Cep America-Illinois Hospitalists (Bloomington, IL), Carle Eureka Hospital (Eureka, IL), Carle Health Medical Group (Urbana, IL) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Muhammad Ali Naveed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Muhammad Ali Naveed affiliated with any hospitals?

According to CMS data, Muhammad Ali Naveed is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, St Marys Hospital, St Francis Hospital and Jacksonville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Ali Naveed was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.