Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAAMOUN ZANE M.D.
NPI 1669831509
Internal Medicine - Critical Care Medicine in Mattoon, IL

Active since February 21, 2016PECOS EnrolledAccepts Medicare Assignment
1000 HEALTH CENTER DR, MATTOON, IL 61938(217) 238-4960(217) 238-4951 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Feb 7, 2025, Sep 3, 2024 and 4 more (7 updates tracked since 2016).

About Maamoun Zane M.d. NPPES

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

MAAMOUN ZANE M.D. (NPI 1669831509) is an individual critical care medicine provider in Mattoon, Illinois, licensed in Illinois (036166969) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1669831509
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMAAMOUN ZANECredential: M.D.
Location Address1000 HEALTH CENTER DRMattoon, IL 61938-4644
Mailing Address4201 W Medical Center DrMchenry, IL 60050-8409 · (815) 759-4530 · Fax (815) 759-8053
Fax(217) 238-4951
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 21, 2016
Last NPPES UpdateJune 25, 20267 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
NPI 1669831509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in IL · 036166969 Licensed in IN · 01093983A
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036-166969 (IL), 4351045558 (MI)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036-166969 (IL)
1000 HEALTH CENTER DR, Mattoon, IL 61938

Secondary Practice Locations 4

Location 150 N Perry StPontiac, MI 48342-2217 · Phone (630) 532-9443
Location 21 Brookdale PlzBrooklyn, NY 11212 · Phone (630) 532-9443
Location 31000 Health Center Dr Ste 101Mattoon, IL 61938-4644 · Phone (217) 258-4158 · Fax (217) 258-2519
Location 44201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 759-4530 · Fax (815) 759-8053

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maamoun Zane M.d. 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.

PECOS PAC ID749691384
PECOS Enrollment IDI20220110000094, I20240916000940
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
77 services31 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938

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 Maamoun Zane's NPI number?

The NPI number for Maamoun Zane is 1669831509. It was assigned to this individual provider in the NPPES registry on February 21, 2016.

Where is Maamoun Zane located?

Maamoun Zane practices at 1000 Health Center Dr, Mattoon, IL 61938. The listed phone number is (217) 238-4960.

What is Maamoun Zane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Maamoun Zane enrolled in Medicare?

Yes. Maamoun Zane 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.

What insurance does Maamoun Zane accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Maamoun Zane 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 Maamoun Zane affiliated with any hospitals?

According to CMS data, Maamoun Zane is affiliated with Sarah Bush Lincoln Health Center and Tawas St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Maamoun Zane was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.