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SYED M ARSHAD MD
NPI 1154396182
Internal Medicine - Hematology & Oncology in Maryville, IL

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
2227 VADALABENE DR, SUITE 100, MARYVILLE, IL 62062(618) 288-1140 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Syed M Arshad Md NPPES

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

SYED M ARSHAD MD (NPI 1154396182) is an individual hematology & oncology provider in Maryville, Illinois, licensed in Illinois (036140637) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1154396182
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSYED M ARSHADCredential: MD
Location Address2227 VADALABENE DR, SUITE 100Maryville, IL 62062-5823
Mailing AddressPo Box 504407Saint Louis, MO 63150-4407 · (816) 502-7000 · Fax (816) 932-7957
Phone(618) 288-1140
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 22, 2006
Last NPPES UpdateAugust 19, 2016
✔ NPI 1154396182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in IL · 036140637✔ Licensed in MO · 2015026177✔ Licensed in KY · 40555
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2227 VADALABENE DR, Maryville, IL 62062
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Other Identifiers 5

Other611243Healthlink
Other2015026177MO · Licesnse
Medicare PIN0299031KY
OtherP00395450KY · Rr Medicare
Medicaid7100020340KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Medica and more.Insurance ›

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

Syed M Arshad 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 ID6800992397
PECOS Enrollment IDI20161013002101
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,203 services510 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.
110 services110 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services54 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
22 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140125
Location2100 Madison AvenueGranite City, IL 62040 · Madison County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$173.35 typical visit price
range $56.28 – $173.35
Typical copayment $43.33 (range $14.07 – $43.33)
Most-billed visit code 99205
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier34 claims38 services$36.52 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier25 claims26 services$198.21 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims756 services$0.56 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 4

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

DR. MORRIS A KUGLER M.D.
Surgery
2227 VADALABENE DR, STE 300
MARYVILLE, IL 62062
Madison County (618) 288-7485
SERENITY SURGERY
Surgery
2227 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-2052
SOUTHERN ILLINOIS SURGICAL CONSULTANTS S.C.
Surgery
2227 VADALABENE DR, STE 300
MARYVILLE, IL 62062
Madison County (618) 288-7485
HANIA B BEDNARSKI DO SC
Surgery
2227 VADALABENE DR, SUITE 300
MARYVILLE, IL 62062
Madison County (618) 288-2052

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 Syed Arshad's NPI number?

The NPI number for Syed Arshad is 1154396182. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Syed Arshad located?

Syed Arshad practices at 2227 Vadalabene Dr Suite 100, Maryville, IL 62062. The listed phone number is (618) 288-1140.

What is Syed Arshad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Syed Arshad enrolled in Medicare?

Yes. Syed Arshad 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.

What insurance does Syed Arshad accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Medica and UnitedHealthcare list Syed Arshad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Syed Arshad affiliated with any hospitals?

According to CMS data, Syed Arshad is affiliated with Gateway Regional Medical Center, Anderson Hospital, Community Hospital Of Staunton, Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Syed Arshad was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.