SOUTHERN ILLINOIS HEART AND VASCULAR CENTER, PC
NPI 1497984389
Internal Medicine - Cardiovascular Disease in Mt. Vernon, IL
About Southern Illinois Heart And Vascular Center, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ILLINOIS HEART AND VASCULAR CENTER, PC (NPI 1497984389) is a healthcare organization registered as a cardiovascular disease in Mt. Vernon, Illinois and active in the NPI registry since July 2009. The organization lists Fadi Michel Shamsham, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Illinois Heart And Vascular Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Illinois Heart And Vascular Center, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Southern Illinois Heart And Vascular Center, PC's NPI number?
The NPI number for Southern Illinois Heart And Vascular Center, PC is 1497984389. It was assigned to this organization in the NPPES registry on July 13, 2009.
Where is Southern Illinois Heart And Vascular Center, PC located?
Southern Illinois Heart And Vascular Center, PC is located at 4115 South Water Tower Place, Mt. Vernon, IL 62864. The listed phone number is (941) 735-8419.
What is Southern Illinois Heart And Vascular Center, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Southern Illinois Heart And Vascular Center, PC enrolled in Medicare?
Yes. Southern Illinois Heart And Vascular Center, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Illinois Heart And Vascular Center, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Southern Illinois Heart And Vascular Center, PC, in Interventional Cardiology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Illinois Heart And Vascular Center, PC was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Southern Illinois Heart And Vascular Center, Pc · NPI 1497984389
Cardiovascular Disease organization in Mt. Vernon, Illinois. Organization record, active in the CMS NPPES registry since July 13, 2009.
## Identity
- **NPI:** 1497984389 (Entity type: Organization)
- **Enumerated:** July 13, 2009
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Fadi Shamsham, PRESIDENT
## Practice location
- **Address:** 4115 SOUTH WATER TOWER PLACE, Mt. Vernon, IL 62864-6293
- **Phone:** (941) 735-8419
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Cardiology (2), Nurse Practitioner (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1497984389) · Data from the CMS NPPES public registry.