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MUHAMMAD ADIL SHEIKH M.D.
NPI 1194107524
Internal Medicine - Interventional Cardiology in O Fallon, IL

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
3 SAINT ELIZABETH BLVD STE 1800, O FALLON, IL 62269(618) 233-6044(618) 233-5195 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 23, 2026, Jul 7, 2025, May 7, 2022 and 3 more (6 updates tracked since 2016).

About Muhammad Adil Sheikh M.d. NPPES

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

MUHAMMAD ADIL SHEIKH M.D. (NPI 1194107524) is an individual interventional cardiology provider in O Fallon, Illinois, licensed in Illinois (036156122) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194107524
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMUHAMMAD ADIL SHEIKHCredential: M.D.
Location Address3 SAINT ELIZABETH BLVD STE 1800O Fallon, IL 62269-1281
Mailing Address3 Saint Elizabeth Blvd Ste 1800O Fallon, IL 62269-1281 · (618) 233-6044 · Fax (618) 233-5195
Phone(618) 233-6044
Fax(618) 233-5195
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 22, 2015
Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1194107524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in IL · 036156122
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301107415 (MI)
Also ListedHospitalistTaxonomy 208M00000X · License 036156122 (IL)
3 SAINT ELIZABETH BLVD STE 1800, O Fallon, IL 62269
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11800 E Lake Shore DrDecatur, IL 62521-3810 · Phone (217) 464-5811
Location 21500 East Medical Center Dr, 3rd floor Taubman Ctr Recp 'B'Ann Arbor, MI 48109-5352 · Phone (734) 936-5582
Location 3800 E Carpenter StSpringfield, IL 62769-5352 · Phone (217) 544-6464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Muhammad Adil Sheikh M.d. 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 ID3971893959
PECOS Enrollment IDI20220401001457
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.

Hospital Affiliations CMS Care Compare 5

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Memorial Hospital

Critical Access Hospitals · Chester, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141338
Location1900 State StChester, IL 62233 · Randolph County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
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.

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 6

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

SYDNEY POLLMANN APRN
Nurse Practitioner (Family)
3 SAINT ELIZABETH BLVD STE 1800
O FALLON, IL 62269
St. Clair County (618) 233-6044
HASAN REHMAN
Internal Medicine (Interventional Cardiology)
3 SAINT ELIZABETH BLVD STE 1800
O FALLON, IL 62269
St. Clair County (618) 233-6044
MISS CHELSEA RENEE BELL FNP-C
Nurse Practitioner (Family)
3 SAINT ELIZABETH BLVD STE 1800
O FALLON, IL 62269
St. Clair County (618) 233-6044
MS. CLAIRE M VARGO FNP
Nurse Practitioner
3 SAINT ELIZABETH BLVD STE 1800
O FALLON, IL 62269
St. Clair County (618) 233-6044
RECE PORTELL PA
Physician Assistant
3 SAINT ELIZABETH BLVD STE 1800
O FALLON, IL 62269
St. Clair County (618) 233-6044
SUMMIT SUBHASH PANDAT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
3 SAINT ELIZABETH BLVD STE 1800
O FALLON, IL 62269
St. Clair County (618) 233-6044

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 Sheikh's NPI number?

The NPI number for Muhammad Sheikh is 1194107524. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Muhammad Sheikh located?

Muhammad Sheikh practices at 3 Saint Elizabeth Blvd Ste 1800, O Fallon, IL 62269. The listed phone number is (618) 233-6044.

What is Muhammad Sheikh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Muhammad Sheikh enrolled in Medicare?

Yes. Muhammad Sheikh 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 Muhammad Sheikh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Muhammad Sheikh 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 Muhammad Sheikh affiliated with any hospitals?

According to CMS data, Muhammad Sheikh is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital, St Joseph's Hospital, Memorial Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Muhammad Sheikh was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.