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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: October 25, 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 St Anthonys Memorial Hospital, 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
Phone(217) 238-4960
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
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11 Brookdale PlzBrooklyn, NY 11212 · Phone (630) 532-9443
Location 24201 W Medical Center DrMcHenry, IL 60050-8409 · Phone (815) 759-4530 · Fax (815) 759-8053
Location 31000 Health Center Dr Ste 101Mattoon, IL 61938-4644 · Phone (217) 258-4158 · Fax (217) 258-2519
Location 450 N Perry StPontiac, MI 48342-2217 · Phone (630) 532-9443

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Priority Health.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

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 IDI20240916000940
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Maamoun Zane reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center
Same address
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
Cep America - Intensivists PC
113 mi
Critical Care Medicine
3700 WASHINGTON AVE
Evansville, IN 47714
  • Reassigned Medicare billing, Indiana enrollment
  • 34 clinicians in this Medicare group
NPI 1851228431 (812) 485-4000
Osf Multi-Specialty Group
116 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Fadi Salloum MD PC
339 mi
Internal Medicine
50 N PERRY ST
Pontiac, MI 48342
  • Reassigned Medicare billing, Michigan enrollment
  • 68 clinicians in this Medicare group
NPI 1053510446 (248) 338-5516
Mymichigan Medical Group
354 mi
Internal Medicine
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 197 clinicians in this Medicare group
NPI 1629027669 (898) 391-6449
Mymichigan Medical Center Sault
506 mi
Family Medicine
16523 S WATER TOWER DR
Kincheloe, MI 49788
  • Reassigned Medicare billing, Michigan enrollment
  • 185 clinicians in this Medicare group
NPI 1851434419 (906) 495-1344

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 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.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

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

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.

DR. DOMINIC PERRINO D.O.
Hospitalist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
VINCENT P CAGUNGUN RN
Nurse Anesthetist, Certified Registered
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4006
ELLIE BUENING OTR/L
Occupational Therapist
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2530
DR. ALEXIS AYONOTE M.D.
Internal Medicine (Gastroenterology)
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-4155
MICHAEL JOHN ATKINSON MPAS, PA-C, ATC
Physician Assistant
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4960
JOHN ROGERS MD
Internal Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 238-4325
JOSEPH BURTON D.O.
Emergency Medicine
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2551
ROBERT BLOOD M.D.
Anesthesiology
1000 HEALTH CENTER DR
MATTOON, IL 61938
Coles County (217) 258-2440

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.

Which organizations bill Medicare for Maamoun Zane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maamoun Zane reassigns Medicare benefits to 6 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Cep America - Intensivists PC (Evansville, IN), Osf Multi-Specialty Group (Peoria, IL), Fadi Salloum MD PC (Pontiac, MI), Mymichigan Medical Group (Midland, MI) and 1 more organization, 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 Maamoun Zane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maamoun Zane accept?

Health plans from Ambetter Health, Ambetter Health of Delaware 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 St Anthonys Memorial Hospital and Sarah Bush Lincoln Health Center.

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 4 months 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.