MOMODOU SALLAH PA-C
NPI 1598876617
Physician Assistant - Medical in Marion, IL
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
Specialties & Licenses 2
Other Identifiers 3
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).
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.
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 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.
Where is Momodou Sallah located?
Momodou Sallah practices at 2401 W Main St, Marion, IL 62959. The listed phone number is (618) 997-5311.
What is Momodou Sallah's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Momodou Sallah enrolled in Medicare?
Yes. Momodou Sallah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Momodou Sallah was last updated on August 3, 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.
# Momodou Sallah, PA-C · NPI 1598876617
Medical physician in Marion, Illinois. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1598876617 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 85001515 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 W MAIN ST, Marion, IL 62959-1188
- **Phone:** (618) 997-5311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 3, 2009
- **Other identifiers:** Medicare UPIN P93195; Medicare PIN IL1682031 (IL); Medicare PIN K49121 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1598876617) · Data from the CMS NPPES public registry.