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DR. ISMAT CHEEMA DO
NPI 1205226560
Internal Medicine in Mount Vernon, IL

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
2 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-3607 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, May 12, 2020 (2 updates tracked since 2020).

About Dr. Ismat Cheema Do NPPES

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

DR. ISMAT CHEEMA DO (NPI 1205226560) is an individual internal medicine provider in Mount Vernon, Illinois, licensed in Illinois (036.167252) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205226560
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ISMAT CHEEMACredential: DO
Location Address2 GOOD SAMARITAN WAYMount Vernon, IL 62864-2408
Mailing Address2 Good Samaritan WayMount Vernon, IL 62864-2408 · (618) 899-3607
Phone(618) 899-3607
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2020
Enumeration DateJanuary 26, 2015
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1205226560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.167252
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 036.167252 (IL)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085005378 (IL)
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1309 W Saint Louis StWest Frankfort, IL 62896-2099 · Phone (618) 932-8375
Location 21001 Hoffman StElmira, NY 14905-1605 · Phone (607) 442-1713

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

Dr. Ismat Cheema Do 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 ID5294053161
PECOS Enrollment IDI20240124000605
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

3

Medicare enrollment records show Ismat Cheema reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Good Samaritan Regional Health Center
0.2 mi
Specialist
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 284 clinicians in this Medicare group
NPI 1134457955 (618) 899-4600
Deaconess Illinois Specialty Clinic, Inc.
0.6 mi
Orthopaedic Surgery
4113 S WATER TOWER PL
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 228 clinicians in this Medicare group
NPI 1477260743 (618) 241-9071
St. Mary's Hospital, Centralia, Illinois
18 mi
Anesthesiology
400 N PLEASANT AVE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: St Marys Hospital Centralia Illinois
  • 392 clinicians in this Medicare group
NPI 1477097871 (618) 436-6056

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
352 services162 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
207 services110 patients
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.
137 services132 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
135 services131 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.
94 services94 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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.

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.

SLEEP & NEUROLOGY CENTER OF SOUTHERN ILLINOIS, LLC
Psychiatry & Neurology (Sleep Medicine)
2 GOOD SAMARITAN WAY, SUITE 400
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1869
JONATHAN L SORENSON CRNA
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, SUITE 205
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1108
DANIEL HOFFMAN MD
Internal Medicine
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
DR. PRATEEK SRINET M.D.
Otolaryngology
2 GOOD SAMARITAN WAY, SUITE 420
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4000
MR. STEVEN J CLARK MD
Surgery (Plastic and Reconstructive Surgery)
2 GOOD SAMARITAN WAY, SUITE 235
MOUNT VERNON, IL 62864
Jefferson County (618) 899-3980
MRS. DEBBIE JANE BENDERSKY RPH
Pharmacist
2 GOOD SAMARITAN WAY, SUITE 120
MOUNT VERNON, IL 62864
Jefferson County (618) 899-4999
MARY K MCGARVEY COTA
Occupational Therapy Assistant
2 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Jefferson County (618) 899-2400
CHRISTOPHER BOURGET CRNA
Nurse Anesthetist, Certified Registered
2 GOOD SAMARITAN WAY, MEDICAL PLAZA SUITE 205
MOUNT VERNON, IL 62864
Jefferson County (618) 241-1108

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 Ismat Cheema's NPI number?

The NPI number for Ismat Cheema is 1205226560. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Ismat Cheema located?

Ismat Cheema practices at 2 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-3607.

What is Ismat Cheema's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ismat Cheema enrolled in Medicare?

Yes. Ismat Cheema 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 Ismat Cheema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismat Cheema reassigns Medicare benefits to 3 organizations: Good Samaritan Regional Health Center (Mount Vernon, IL), Deaconess Illinois Specialty Clinic, Inc. (Mount Vernon, IL) and St. Mary's Hospital, Centralia, Illinois (Centralia, IL). 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 Ismat Cheema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ismat Cheema affiliated with any hospitals?

According to CMS data, Ismat Cheema is affiliated with Ssm Health St Mary's Hospital -Centralia and Good Samaritan Regional Hlth Center.

When was this NPI record last updated?

The NPPES record for Ismat Cheema was last updated on July 17, 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.