NADA MEMON MD
NPI 1679774384
Internal Medicine - Cardiovascular Disease in Alton, IL

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
78.94/100
CMS Quality Rating
2 SAINT ANTHONYS WAY STE 305, ALTON, IL 62002(618) 474-6277(618) 474-6792 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2024, Feb 28, 2023 (2 updates tracked since 2023).

About Nada Memon Md NPPES

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

NADA MEMON MD (NPI 1679774384) is an individual cardiovascular disease provider in Alton, Illinois, licensed in Illinois (036172957) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1679774384
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameNADA MEMONCredential: MD
Location Address2 SAINT ANTHONYS WAY STE 305Alton, IL 62002-4569
Mailing Address2 Saint Anthonys Way Ste 305Alton, IL 62002-4569 · (618) 474-6277 · Fax (618) 474-6792
Fax(618) 474-6792
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 30, 2007
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1679774384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036172957
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License 036172957 (IL), 33317 (AL)
2 SAINT ANTHONYS WAY STE 305, Alton, IL 62002

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

Nada Memon Md 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 ID7012054992
PECOS Enrollment IDI20240828001454, I20241230001418
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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
66 services49 patients
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.
55 services23 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.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260105
Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.72
Promoting Interoperability99
Improvement Activities40
Cost66.92

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Interventional Cardiology)
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 62002
Surgery
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 62002
Nutritionist (Nutrition, Education)
2 SAINT ANTHONYS WAY STE 305
ALTON, IL 62002

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 Nada Memon's NPI number?

The NPI number for Nada Memon is 1679774384. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Nada Memon located?

Nada Memon practices at 2 Saint Anthonys Way Ste 305, Alton, IL 62002. The listed phone number is (618) 474-6277.

What is Nada Memon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nada Memon enrolled in Medicare?

Yes. Nada Memon 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 Nada Memon accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Nada Memon 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 Nada Memon affiliated with any hospitals?

According to CMS data, Nada Memon is affiliated with Osf Saint Anthony's Health Center, Northwestern Medicine Central Dupage Hospital and Ssm Health Saint Louis University Hospital.

When was this NPI record last updated?

The NPPES record for Nada Memon was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.