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MOHAMAD ATA
NPI 1457698169
Nurse Practitioner in Champaign, IL

Active since January 15, 2013PECOS EnrolledAccepts Medicare Assignment
1802 S. MATTIS, CHAMPAIGN, IL 61821(217) 383-3311(630) 690-5282 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2025, Nov 27, 2018, Nov 8, 2018 (3 updates tracked since 2018).

About Mohamad Ata NPPES

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

MOHAMAD ATA (NPI 1457698169) is an individual nurse practitioner in Champaign, Illinois, licensed in Illinois (209017185) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Rush Medical College Of Rush University (2017).

NPPES Registry Identity

NPI1457698169
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMOHAMAD ATA
Location Address1802 S. MATTISChampaign, IL 61821
Mailing Address611 W. Park St., FapcUrbana, IL 61801 · (217) 902-5291
Phone(217) 383-3311
Fax(630) 690-5282
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2017
Enumeration DateJanuary 15, 2013
Last NPPES UpdateSeptember 4, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1457698169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209017185
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041398787 (IL)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209017185 (IL)
1802 S. MATTIS, Champaign, IL 61821
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mohamad Ata 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 ID143583484
PECOS Enrollment IDI20180418002634
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services33 patients

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
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.

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 Mohamad Ata's NPI number?

The NPI number for Mohamad Ata is 1457698169. It was assigned to this individual provider in the NPPES registry on January 15, 2013.

Where is Mohamad Ata located?

Mohamad Ata practices at 1802 S. Mattis, Champaign, IL 61821. The listed phone number is (217) 383-3311.

What is Mohamad Ata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mohamad Ata enrolled in Medicare?

Yes. Mohamad Ata 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 Mohamad Ata accept?

Health plans from Providence Health Plan list Mohamad Ata 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 Mohamad Ata affiliated with any hospitals?

According to CMS data, Mohamad Ata is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Mohamad Ata was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.