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

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.

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
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

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 2024 & 2026 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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2401 W MAIN ST
MARION, IL 62959
Physician Assistant (Medical)
2401 W MAIN ST
MARION, IL 62959
Internal Medicine
2401 W MAIN ST
MARION, IL 62959
Family Medicine
2401 W MAIN ST, VETERANS ADMIN HOSP
MARION, IL 62959
Audiologist
2401 W MAIN ST, AUDIOLOGY 117 A
MARION, IL 62959
Dietitian, Registered
2401 W MAIN ST
MARION, IL 62959
Pharmacist
2401 W MAIN ST
MARION, IL 62959
Physical Therapist
2401 W MAIN ST
MARION, IL 62959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598876617, enumerated as an "individual" on August 31, 2006.

The provider is located at 2401 W MAIN ST MARION, IL 62959 and the phone number is (618) 997-5311.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.