SHAJI A MOHAMMED
NPI 1316504939
Internal Medicine in Mt. Vernon, IL
About Shaji A Mohammed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAJI A MOHAMMED (NPI 1316504939) is an individual internal medicine provider in Mt. Vernon, Illinois, licensed in Illinois (036161378) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Shaji A Mohammed 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.
Medicare Billing Reassignments
7Medicare enrollment records show Shaji Mohammed reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 284 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: St Marys Hospital Centralia Illinois
- 392 clinicians in this Medicare group
Taylorville, IL 62568
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Taylorville Memorial Hospital
- Also billed through NPI 1144292020 (Illinois)
- 67 clinicians in this Medicare group
Decatur, IL 62526
- Reassigned Medicare billing, Illinois enrollment
- 166 clinicians in this Medicare group
Rockford, IL 61103
- Reassigned Medicare billing, Illinois enrollment
- 1,375 clinicians in this Medicare group
Harvard, IL 60033
- Reassigned Medicare billing, Illinois enrollment
- 382 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Illinois enrollment
- 671 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Decatur Memorial Hospital
Acute Care Hospitals · Decatur, ILJavon Bea Hospital
Acute Care Hospitals · Rockford, ILMercy Harvard Hospital
Critical Access Hospitals · Harvard, ILTaylorville Memorial Hospital
Critical Access Hospitals · Taylorville, ILPhysician 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.
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.
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
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 Shaji Mohammed's NPI number?
The NPI number for Shaji Mohammed is 1316504939. It was assigned to this individual provider in the NPPES registry on May 20, 2019.
Where is Shaji Mohammed located?
Shaji Mohammed practices at 1 Good Samaritan Way, Mt. Vernon, IL 62864. The listed phone number is (618) 899-1006.
What is Shaji Mohammed's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shaji Mohammed enrolled in Medicare?
Yes. Shaji Mohammed 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 Shaji Mohammed's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaji Mohammed reassigns Medicare benefits to 7 organizations: Good Samaritan Regional Health Center (Mount Vernon, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Taylorville Memorial Hospital Home Care (Taylorville, IL), Decatur Memorial Hospital (Decatur, IL), Rockford Health Physicians (Rockford, IL) and 2 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 Shaji Mohammed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaji Mohammed accept?
Health plans from Anthem Blue Cross and Blue Shield list Shaji Mohammed 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 Shaji Mohammed affiliated with any hospitals?
According to CMS data, Shaji Mohammed is affiliated with Decatur Memorial Hospital, Javon Bea Hospital, Mercy Harvard Hospital and Taylorville Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shaji Mohammed was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Shaji A Mohammed · NPI 1316504939
Internal Medicine physician in Mt. Vernon, Illinois. Individual provider, active in the CMS NPPES registry since May 20, 2019.
## Identity
- **NPI:** 1316504939 (Entity type: Individual)
- **Enumerated:** May 20, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036161378 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GOOD SAMARITAN WAY, Mt. Vernon, IL 62864-1010
- **Phone:** (618) 899-1006
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Good Samaritan Regional Health Center (NPI 1487758801, Mount Vernon, IL); St. Mary's Hospital, Centralia, Illinois (NPI 1477097871, Centralia, IL); Taylorville Memorial Hospital Home Care (NPI 1043282734, Taylorville, IL); Decatur Memorial Hospital (NPI 1164477725, Decatur, IL); Rockford Health Physicians (NPI 1023275278, Rockford, IL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2019
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316504939) · Data from the CMS NPPES public registry.