DR. FADOL MOHAMED MD
NPI 1578090734
Internal Medicine - Cardiovascular Disease in Sault Sainte Marie, MI
About Dr. Fadol Mohamed Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FADOL MOHAMED MD (NPI 1578090734) is an individual cardiovascular disease provider in Sault Sainte Marie, Michigan, licensed in Illinois (036168028) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (2012).
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
Dr. Fadol Mohamed Md 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
8Medicare enrollment records show Fadol Mohamed reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sault Sainte Marie, MI 49783
- Reassigned Medicare billing, Michigan enrollment
- 185 clinicians in this Medicare group
Dubuque, IA 52001
- Reassigned Medicare billing, Iowa enrollment
- 177 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Springfield, IL 62704
- Reassigned Medicare billing, Illinois enrollment
- 101 clinicians in this Medicare group
Sioux City, IA 51104
- Reassigned Medicare billing, Iowa enrollment
- 281 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 505 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 13
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carle Foundation Hospital
Acute Care Hospitals · Urbana, ILOsf Sacred Heart Medical Center
Acute Care Hospitals · Danville, ILSarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILCarle Hoopeston Regional Health Center
Critical Access Hospitals · Hoopeston, ILSt Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAULT SAINTE MARIE, MI 49783
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 Fadol Mohamed's NPI number?
The NPI number for Fadol Mohamed is 1578090734. It was assigned to this individual provider in the NPPES registry on May 18, 2017.
Where is Fadol Mohamed located?
Fadol Mohamed practices at 560 Osborn Blvd, Sault Sainte Marie, MI 49783. The listed phone number is (906) 632-1800.
What is Fadol Mohamed's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Fadol Mohamed enrolled in Medicare?
Yes. Fadol Mohamed 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 Fadol Mohamed's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fadol Mohamed reassigns Medicare benefits to 8 organizations: Mymichigan Medical Center Sault (Sault Sainte Marie, MI), The Finley Hospital (Dubuque, IA), Carle Health Medical Group (Urbana, IL), Prairie Cardiovascular Consultants Ltd (Springfield, IL), Northwest Iowa Hospital Corporation (Sioux City, IA) and 3 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 Fadol Mohamed's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fadol Mohamed accept?
Health plans from Avera Health Plans, Dean Health Plan, Oscar Insurance Company, Quartz and Sanford Health Plan and 1 other insurer list Fadol Mohamed 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 Fadol Mohamed affiliated with any hospitals?
According to CMS data, Fadol Mohamed is affiliated with Carle Foundation Hospital, Osf Sacred Heart Medical Center, Sarah Bush Lincoln Health Center, Carle Hoopeston Regional Health Center and St Lukes Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Fadol Mohamed was last updated on February 7, 2024. 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.
# Dr. Fadol Mohamed, MD · NPI 1578090734
Cardiovascular Disease physician in Sault Sainte Marie, Michigan. Individual provider, active in the CMS NPPES registry since May 18, 2017.
## Identity
- **NPI:** 1578090734 (Entity type: Individual)
- **Enumerated:** May 18, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 036168028 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 560 OSBORN BLVD, Sault Sainte Marie, MI 49783-1961
- **Phone:** (906) 632-1800
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Mymichigan Medical Center Sault (NPI 1720145303, Sault Sainte Marie, MI); The Finley Hospital (NPI 1073560462, Dubuque, IA); Carle Health Medical Group (NPI 1154653947, Urbana, IL); Prairie Cardiovascular Consultants Ltd (NPI 1982714218, Springfield, IL); Northwest Iowa Hospital Corporation (NPI 1215962550, Sioux City, IA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** February 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1578090734) · Data from the CMS NPPES public registry.