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SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON
NPI 1487758801
Emergency Medicine in Mount Vernon, IL

Active since September 08, 2006
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-4600(618) 532-9365 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ssm Health Good Samaritan Hospital - Mt. Vernon NPPES

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

SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON (NPI 1487758801) is a healthcare organization registered as an emergency medicine in Mount Vernon, Illinois and active in the NPI registry since September 2006. The organization lists Jeremy Bradford, President, as its authorized official.

NPPES Registry Identity

NPI1487758801
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGOOD SAMARITAN REGIONAL HEALTH CENTER
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing AddressPo Box 503927Saint Louis, MO 63150-0001 · (618) 899-4600 · Fax (618) 532-9365
Phone(618) 899-4600
Fax(618) 532-9365
Organization SubpartNo
Authorized OfficialJeremy BradfordPresident · (618) 899-1001
Enumeration DateSeptember 8, 2006
Last NPPES UpdateNovember 27, 2023
✔ NPI 1487758801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 0004705
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 0004705 (IL)
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0004705 (IL)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 0004705 (IL)
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X · License 0004705 (IL)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 0004705 (IL)
Also ListedRespiratory Therapist, CertifiedTaxonomy 227800000X · License 0004705 (IL)
Also ListedRespiratory Therapist, RegisteredTaxonomy 227900000X · License 0004705 (IL)
1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864
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Other Names 1

Doing Business AsSsm Health Good Samaritan Hospital - Mt. Vernon

Other Identifiers 2

Other4115179IL · Blue Cross Blue Shield
Other33898IL · Group Health Plan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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)

Ssm Health Good Samaritan Hospital - Mt. Vernon 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 Ssm Health Good Samaritan Hospital - Mt. Vernon, which bills Medicare for the services they deliver. Of these, 10 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
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 MedicareSame address
Elizabeth Eggemeyer, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528401809
2 GOOD SAMARITAN WAY STE 205
Mount Vernon, IL 62864
(618) 899-3869
✔ PECOS✔ Accepts MedicareSame address
Jeanette Ellis, NURSE ANESTHETIST
Certified Registered Nurse Anesthetist (CRNA)
NPI 1184191363
2 GOOD SAMARITAN WAY STE 205
Mount Vernon, IL 62864
(618) 899-3869
✔ PECOS✔ Accepts MedicareSame address
Whitney Hake
Certified Registered Nurse Anesthetist (CRNA)
NPI 1720835325
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 242-4600
✔ PECOS✔ Accepts MedicareSame address
Ashwath Kumar, MD
Hospitalist
NPI 1881213437
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(573) 239-2318
✔ PECOS✔ Accepts MedicareSame address
Sajana Maharjan
Hospitalist
NPI 1790273977
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-2497
✔ PECOS✔ Accepts MedicareSame address
Shaji Mohammed
Internal Medicine
NPI 1316504939
1 GOOD SAMARITAN WAY
Mt. Vernon, IL 62864
(618) 899-1006
✔ PECOS✔ Accepts MedicareSame address
Walter Parham, MD
Cardiovascular Disease (Cardiology)
NPI 1487646972
2 GOOD SAMARITAN WAY SUITE 220
Mount Vernon, IL 62864
(618) 899-3900
✔ PECOS✔ Accepts MedicareSame address
Shannon Parks, APN
Nurse Practitioner
NPI 1598308389
2 GOOD SAMARITAN WAY STE 220
Mount Vernon, IL 62864
(618) 899-3900
✔ PECOS✔ Accepts MedicareSame address
Jennifer Starr, FNP-C
Nurse Practitioner
NPI 1154917698
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 242-4600
✔ PECOS✔ Accepts MedicareSame address
Thomas Cain, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1871773879
605 N 12TH ST
Mount Vernon, IL 62864
(618) 241-1108
✔ PECOS✔ Accepts Medicare1.5 mi
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 Medicare2.4 mi
Ismat Cheema, DO
Internal Medicine
NPI 1205226560
2 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-3607
✔ PECOS✔ Accepts Medicare2.4 mi
Emmanuel Loutrianakis, MD
Cardiovascular Disease (Cardiology)
NPI 1013974187
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(847) 736-0506
✔ PECOS✔ Accepts Medicare2.4 mi
Rabia Zahid, DO
Hospitalist
NPI 1346734043
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(309) 339-2906
✔ PECOS✔ Accepts Medicare2.4 mi
Qing Luo, M.D.
Internal Medicine
NPI 1033527809
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 242-4600
✔ PECOS✔ Accepts Medicare2.6 mi
Ahmed Youssef, MD
Hospitalist
NPI 1700303054
1007 S 42ND ST STE 1
Mount Vernon, IL 62864
(161) 899-3040
✔ PECOS2.8 mi
Fadi Shamsham, M.D.
Interventional Cardiology
NPI 1942203971
4115 S. WATER TOWER PLACE
Mt. Vernon, IL 62864
(618) 204-5462
✔ PECOS✔ Accepts Medicare2.8 mi
Abdulmonam Ali, M.D.
Pulmonary Disease
NPI 1396026506
4106 S WATER TOWER PL
Mount Vernon, IL 62864
(618) 242-8900
✔ PECOS✔ Accepts Medicare2.9 mi
Angela Arcuri, FNP
Nurse Practitioner
NPI 1861021883
4230 LINCOLNSHIRE DR STE A
Mount Vernon, IL 62864
(618) 899-3710
✔ PECOS✔ Accepts Medicare3.3 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 1487758801. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Ssm Health Good Samaritan Hospital - Mt. Vernon.

Where is Good Samaritan Regional Health Center located?

Good Samaritan Regional Health Center is located at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-4600.

What is Good Samaritan Regional Health Center's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

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, 10 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 Ambetter Health and Ambetter Health of Delaware 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 November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.