MOMODOU SALLAH PA-C
NPI 1598876617
Physician Assistant - Medical in Marion, IL

Q: What is Momodou Sallah's NPI number?

The NPI number for Momodou Sallah is 1598876617. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Momodou Sallah's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Momodou Sallah was last updated on August 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2006PECOS Enrolled

2401 W MAIN ST, MARION, IL 62959(618) 997-5311 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Momodou Sallah Pa-c NPPES

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

MOMODOU SALLAH PA-C (NPI 1598876617) is an individual medical provider in Marion, Illinois, licensed in Illinois (85001515) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598876617

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMOMODOU SALLAHCredential: PA-C

Location Address2401 W MAIN STMarion, IL 62959-1188

Mailing Address1400 Danielle CtMarion, IL 62959-1545 · (618) 997-5311

Phone(618) 997-5311

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateAugust 3, 2009

✔ NPI 1598876617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 85001515

Also ListedEmergency MedicineTaxonomy 207P00000X · License 085001515 (IL)

2401 W MAIN ST, Marion, IL 62959

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Other Identifiers 3

Medicare UPINP93195

Medicare PINIL1682031IL

Medicare PINK49121IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Momodou Sallah Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services16 patients