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GOOD SAMARITAN PLAZA PHARMACY
NPI 1316282163
Pharmacy - Community/Retail Pharmacy in Mount Vernon, IL

Active since December 05, 2012
2 GOOD SAMARITAN WAY, SUITE 120, MOUNT VERNON, IL 62864(618) 899-4999(618) 899-4799 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Good Samaritan Plaza Pharmacy NPPES

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

GOOD SAMARITAN PLAZA PHARMACY (NPI 1316282163) is a healthcare organization registered as a community/retail pharmacy in Mount Vernon, Illinois and active in the NPI registry since December 2012. The organization lists Michell R. Ellis, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1316282163
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGOOD SAMARITAN REGIONAL HEALTH CENTER
Location Address2 GOOD SAMARITAN WAY, SUITE 120Mount Vernon, IL 62864-2475
Mailing Address2 Good Samaritan Way, Suite 120Mount Vernon, IL 62864-2475 · (618) 899-4999 · Fax (618) 899-4799
Phone(618) 899-4999
Fax(618) 899-4799
Organization SubpartNo
Authorized OfficialMichell R. EllisPharmacist In Charge · (618) 899-4999
Enumeration DateDecember 5, 2012
Last NPPES UpdateFebruary 28, 2013
✔ NPI 1316282163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IL · 054.018065
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
2 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsGood Samaritan Plaza Pharmacy

Other Identifiers 1

Other1487556Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Good Samaritan Plaza Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

282

Medicare enrollment records show 282 clinicians reassign Medicare billing to Good Samaritan Plaza Pharmacy, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Diagnostic Radiology98
Psychiatry40
Certified Registered Nurse Anesthetist (CRNA)26
Hospitalist21
Internal Medicine20
Nurse Practitioner17
Interventional Cardiology8
Anesthesiology7
15 other specialties45

Nearest to this location (20)

See all 282
Patricia Calcetto, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1831611334
2 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-3869
✔ PECOS✔ Accepts MedicareSame address
Qing Luo, M.D.
Internal Medicine
NPI 1033527809
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 242-4600
✔ PECOS✔ Accepts MedicareSame address
Jonathan Sorenson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063516136
2 GOOD SAMARITAN WAY SUITE 205
Mount Vernon, IL 62864
(618) 241-1108
✔ PECOS✔ Accepts MedicareSame address
Christopher Bourget, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275900656
2 GOOD SAMARITAN WAY MEDICAL PLAZA SUITE 205
Mount Vernon, IL 62864
(618) 241-1108
✔ PECOS✔ Accepts Medicare0.2 mi
Ismat Cheema, DO
Internal Medicine
NPI 1205226560
2 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-3607
✔ PECOS✔ Accepts Medicare0.2 mi
Emmanuel Loutrianakis, MD
Cardiovascular Disease (Cardiology)
NPI 1013974187
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(847) 736-0506
✔ PECOS✔ Accepts Medicare0.2 mi
Rabia Zahid, DO
Hospitalist
NPI 1346734043
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(309) 339-2906
✔ PECOS✔ Accepts Medicare0.2 mi
Ahmed Youssef, MD
Hospitalist
NPI 1700303054
1007 S 42ND ST STE 1
Mount Vernon, IL 62864
(161) 899-3040
✔ PECOS0.3 mi
Fadi Shamsham, M.D.
Interventional Cardiology
NPI 1942203971
4115 S. WATER TOWER PLACE
Mt. Vernon, IL 62864
(618) 204-5462
✔ PECOS✔ Accepts Medicare0.5 mi
Mohammed Haseeb, M.D.
Cardiovascular Disease (Cardiology)
NPI 1275692238
4204 WILLIAMSON PL
Mount Vernon, IL 62864
(618) 244-2525
✔ PECOS✔ Accepts Medicare0.6 mi
Abdulmonam Ali, M.D.
Pulmonary Disease
NPI 1396026506
4106 S WATER TOWER PL
Mount Vernon, IL 62864
(618) 242-8900
✔ PECOS✔ Accepts Medicare0.7 mi
Vincent Compton, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1437719093
8 DOCTORS PARK RD
Mount Vernon, IL 62864
(618) 244-5500
✔ PECOS✔ Accepts Medicare1.0 mi
Angela Arcuri, FNP
Nurse Practitioner
NPI 1861021883
4230 LINCOLNSHIRE DR STE A
Mount Vernon, IL 62864
(618) 899-3710
✔ PECOS✔ Accepts Medicare1.5 mi
Thomas Cain, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871773879
605 N 12TH ST
Mount Vernon, IL 62864
(618) 241-1108
✔ PECOS✔ Accepts Medicare2.1 mi
Jamie Compton, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1023680972
2 GOOD SAMARITAN WAY STE 205
Mount Vernon, IL 62864
(161) 889-9386
✔ PECOS✔ Accepts Medicare2.6 mi
Ashwath Kumar, MD
Hospitalist
NPI 1881213437
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(573) 239-2318
✔ PECOS✔ Accepts Medicare2.6 mi
Sajana Maharjan
Hospitalist
NPI 1790273977
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-2497
✔ PECOS✔ Accepts Medicare2.6 mi
Shaji Mohammed
Internal Medicine
NPI 1316504939
1 GOOD SAMARITAN WAY
Mt. Vernon, IL 62864
(618) 899-1006
✔ PECOS✔ Accepts Medicare2.6 mi
Walter Parham, MD
Cardiovascular Disease (Cardiology)
NPI 1487646972
2 GOOD SAMARITAN WAY SUITE 220
Mount Vernon, IL 62864
(618) 899-3900
✔ PECOS✔ Accepts Medicare2.6 mi
Shannon Parks, APN
Nurse Practitioner
NPI 1598308389
2 GOOD SAMARITAN WAY STE 220
Mount Vernon, IL 62864
(618) 899-3900
✔ PECOS✔ Accepts Medicare2.6 mi
See all 282 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Good Samaritan Regional Health Center's NPI number?

The NPI number for Good Samaritan Regional Health Center is 1316282163. It was assigned to this organization in the NPPES registry on December 5, 2012. The provider is doing business as Good Samaritan Plaza Pharmacy.

Where is Good Samaritan Regional Health Center located?

Good Samaritan Regional Health Center is located at 2 Good Samaritan Way Suite 120, Mount Vernon, IL 62864. The listed phone number is (618) 899-4999.

What is Good Samaritan Regional Health Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Good Samaritan Regional Health Center enrolled in Medicare?

Yes. Good Samaritan Regional Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Samaritan Regional Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 282 clinicians in 23 Medicare specialties reassign their Medicare billing to Good Samaritan Regional Health Center. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (98), Psychiatry (40) and Certified Registered Nurse Anesthetist (CRNA) (26). Of these, 3 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Good Samaritan Regional Health Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 47 other insurers list Good Samaritan Regional Health Center 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.

When was this NPI record last updated?

The NPPES record for Good Samaritan Regional Health Center was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.