Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAMOOR SHAHID LATEF
NPI 1255890331
Pathology - Anatomic Pathology & Clinical Pathology in Maywood, IL

Active since March 18, 2019PECOS Enrolled
2160 S 1ST AVE BLDG 107, MAYWOOD, IL 60153(708) 216-9100 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, Sep 20, 2024, Mar 18, 2019 (3 updates tracked since 2019).

About Mamoor Shahid Latef NPPES

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

MAMOOR SHAHID LATEF (NPI 1255890331) is an individual anatomic pathology & clinical pathology provider in Maywood, Illinois, licensed in Illinois (036167999) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255890331
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMAMOOR SHAHID LATEF
Location Address2160 S 1ST AVE BLDG 107Maywood, IL 60153-3328
Mailing Address2160 S 1st Ave Bldg 107Maywood, IL 60153-3328
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 21, 20263 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1255890331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in IL · 036167999
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2160 S 1ST AVE BLDG 107, Maywood, IL 60153

Secondary Practice Locations 4

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000
Location 2875 S Route 31Crystal Lake, IL 60014-8190 · Phone (779) 220-5500
Location 3901 Grant StHarvard, IL 60033-1821 · Phone (815) 943-5431
Location 48201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-5000

Accepted Insurance

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

Mamoor Shahid Latef 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 ID648505883
PECOS Enrollment IDI20241217004276
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 Reassignment

Medicare enrollment records show Mamoor Latef reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anatomic Pathology & Clinical Pathology
4000 JOHNSON RD, TRINITY MEDICAL CENTER WEST
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group

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 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
82 services41 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Twin City Medical Center

Critical Access Hospitals · Dennison, OH
OwnershipVoluntary non-profit - Church
CMS Certification Number361302
Location819 North First StreetDennison, OH 44621 · Tuscarawas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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

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

Pathology (Anatomic Pathology & Clinical Pathology)
2160 S 1ST AVE BLDG 107
MAYWOOD, IL 60153

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 Mamoor Latef's NPI number?

The NPI number for Mamoor Latef is 1255890331. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Mamoor Latef located?

Mamoor Latef practices at 2160 S 1st Ave Bldg 107, Maywood, IL 60153. The listed phone number is (708) 216-9100.

What is Mamoor Latef's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mamoor Latef enrolled in Medicare?

Yes. Mamoor Latef 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 organization bills Medicare for Mamoor Latef's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamoor Latef reassigns Medicare benefits to Ohio Valley Pathology Associates Inc (Steubenville, OH). The 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 Mamoor Latef's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mamoor Latef accept?

Health plans from CareSource list Mamoor Latef 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 Mamoor Latef affiliated with any hospitals?

According to CMS data, Mamoor Latef is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West and Twin City Medical Center.

When was this NPI record last updated?

The NPPES record for Mamoor Latef was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.