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DR. MOHD NOMAN MOHIUDDIN M.D
NPI 1154685089
Family Medicine in Mount Pleasant, WI

Active since June 26, 2012PECOS Enrolled
100/100
CMS Quality Rating
8400 WASHINGTON AVE, MOUNT PLEASANT, WI 53406(262) 884-4088 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, May 9, 2024, Apr 19, 2024 and 4 more (7 updates tracked since 2019).

About Dr. Mohd Noman Mohiuddin M.d NPPES

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

DR. MOHD NOMAN MOHIUDDIN M.D (NPI 1154685089) is an individual family medicine provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (86904-20) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1154685089
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MOHD NOMAN MOHIUDDINCredential: M.D
Location Address8400 WASHINGTON AVEMount Pleasant, WI 53406-3735
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 884-4088
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 26, 2012
Last NPPES UpdateJuly 14, 20267 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1154685089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 86904-20✔ Licensed in IL · 036130425
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036130425 (IL)
8400 WASHINGTON AVE, Mount Pleasant, WI 53406
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1693 W Boughton RdBolingbrook, IL 60440-1752 · Phone (630) 362-1562 · Fax (630) 326-8768
Location 2486 Randall Rd Unit BSouth Elgin, IL 60177-3354 · Phone (224) 783-5000 · Fax (224) 782-5018
Location 31339 W Lake StAddison, IL 60101-1836 · Phone (630) 930-5600
Location 41804 N Naper BlvdNaperville, IL 60563-8830 · Phone (630) 646-6500
Location 5200 N Gary AveCarol Stream, IL 60188-1834 · Phone (630) 326-8766 · Fax (630) 326-8768

Other Identifiers 2

Medicaid100412008WI
Other036130425IL · Illinois State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohd Noman Mohiuddin M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204083843
PECOS Enrollment IDI20120904000427, I20260430003379
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

8

Medicare enrollment records show Mohd Mohiuddin reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeshore Medical Clinic Ltd
13 mi
Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1174851893 (414) 764-4003
Aurora Medical Group, Inc.
19 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Aurora Advanced Healthcare, Inc.
30 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100
Cepamerica Illinois LLP
30 mi
Emergency Medicine
801 S MILWAUKEE AVE
Libertyville, IL 60048
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1740906577 (847) 990-5300
Endeavor Health Medical Group
46 mi
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Lutheran General Hospital
47 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210
Suburban Medical Group Corp
57 mi
Urgent Care
200 N GARY AVE
Carol Stream, IL 60188
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1134824410 (630) 326-8766
Edward Hospital
68 mi
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
NPI 1013969013 (630) 655-0450

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 9

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.
208 services184 patients
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.
103 services98 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
37 services37 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.
30 services30 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53406 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

Other Providers at the Same Location NPPES 20

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

MRS. NANDITA BATCHRA MD
Otolaryngology
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
ALLISON MARIE BLONSKI MD
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
DR. REBECCA LINDSEY LESCHER M.D.
Pediatrics
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
MS. PRIYA RAMDASS M.D
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 321-3000
DR. MATTHEW ADAM PILECKI MD
Pain Medicine (Interventional Pain Medicine)
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-4000
AMY P KELLY DO
Family Medicine
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 321-3000
MICHAEL MULLANE MD
Medical Genetics (Clinical Genetics (M.D.))
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 884-8340
RACHEL R GAGE APN
Nurse Practitioner
8400 WASHINGTON AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 321-3150

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 Mohd Mohiuddin's NPI number?

The NPI number for Mohd Mohiuddin is 1154685089. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Mohd Mohiuddin located?

Mohd Mohiuddin practices at 8400 Washington Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 884-4088.

What is Mohd Mohiuddin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohd Mohiuddin enrolled in Medicare?

Yes. Mohd Mohiuddin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohd Mohiuddin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohd Mohiuddin reassigns Medicare benefits to 8 organizations: Lakeshore Medical Clinic Ltd (South Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI), Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Cepamerica Illinois LLP (Libertyville, IL), Endeavor Health Medical Group (Evanston, IL) and 3 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 Mohd Mohiuddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohd Mohiuddin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and CareSource (Common Ground Healthcare) list Mohd Mohiuddin 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 Mohd Mohiuddin affiliated with any hospitals?

According to CMS data, Mohd Mohiuddin is affiliated with Advocate Sherman Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Mohd Mohiuddin was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.