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MOUNT VERNON MEDICAL ENTERPRISES INC
NPI 1548877947
Family Medicine in Mount Vernon, IL

Active since September 29, 2020
4230 LINCOLNSHIRE DR STE G, MOUNT VERNON, IL 62864(618) 244-6770(618) 244-6772 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mount Vernon Medical Enterprises Inc NPPES

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

MOUNT VERNON MEDICAL ENTERPRISES INC (NPI 1548877947) is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since September 2020. The organization lists Suzanne Alt, President, as its authorized official.

NPPES Registry Identity

NPI1548877947
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNT VERNON MEDICAL ENTERPRISES INC
Location Address4230 LINCOLNSHIRE DR STE GMount Vernon, IL 62864-2189
Mailing Address4230 Lincolnshire Dr Ste GMount Vernon, IL 62864-2189 · (618) 244-6770 · Fax (618) 244-6772
Phone(618) 244-6770
Fax(618) 244-6772
Organization SubpartNo
Authorized OfficialSuzanne AltPresident · (660) 341-3877
Enumeration DateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1548877947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
4230 LINCOLNSHIRE DR STE G, Mount Vernon, IL 62864
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mount Vernon Medical Enterprises Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mount Vernon Medical Enterprises Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Suzanne Alt, DO
Family Practice
NPI 1811995566
4230 LINCOLNSHIRE DR STE G
Mount Vernon, IL 62864
(618) 244-6770
✔ PECOS✔ Accepts MedicareSame address

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 Mount Vernon Medical Enterprises Inc's NPI number?

The NPI number for Mount Vernon Medical Enterprises Inc is 1548877947. It was assigned to this organization in the NPPES registry on September 29, 2020.

Where is Mount Vernon Medical Enterprises Inc located?

Mount Vernon Medical Enterprises Inc is located at 4230 Lincolnshire Dr Ste G, Mount Vernon, IL 62864. The listed phone number is (618) 244-6770.

What is Mount Vernon Medical Enterprises Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mount Vernon Medical Enterprises Inc enrolled in Medicare?

Yes. Mount Vernon Medical Enterprises Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mount Vernon Medical Enterprises Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Mount Vernon Medical Enterprises Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mount Vernon Medical Enterprises Inc was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.