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AL-ZOUBAIDI VEIN AND VASCULAR CENTER OF SOUTHERN ILLINOIS
NPI 1710734090
Surgery - Vascular Surgery in Mt. Vernon, IL

Active since May 03, 2024
4119 S. WATER TOWER PLC, SUITE A, MT. VERNON, IL 62864(618) 681-1188 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2024, May 3, 2024 (2 updates tracked since 2024).

About Al-zoubaidi Vein And Vascular Center Of Southern Illinois NPPES

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

AL-ZOUBAIDI VEIN AND VASCULAR CENTER OF SOUTHERN ILLINOIS (NPI 1710734090) is a healthcare organization registered as a vascular surgery in Mt. Vernon, Illinois and active in the NPI registry since May 2024. The organization lists Mohammed Al-zoubaidi, Owner, as its authorized official.

NPPES Registry Identity

NPI1710734090
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMOHAMMED AL-ZOUBAIDI MD PLLC
Location Address4119 S. WATER TOWER PLC, SUITE AMt. Vernon, IL 62864
Mailing Address4119 S. Water Tower Plc, Suite AMt. Vernon, IL 62864
Phone(618) 681-1188
Organization SubpartNo
Authorized OfficialMohammed Al-zoubaidiOwner · (618) 681-1188
Enumeration DateMay 3, 2024
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1710734090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4119 S. WATER TOWER PLC, SUITE A, Mt. Vernon, IL 62864
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Other Names 1

Doing Business AsAl-zoubaidi Vein And Vascular Center Of Southern Illinois

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Al-zoubaidi Vein And Vascular Center Of Southern Illinois is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Al-Zoubaidi Vein And Vascular Center Of Southern Illinois, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mohammed Al-Zoubaidi, M.D
Vascular Surgery
NPI 1063606432
4119 S WATER TOWER PL STE A
Mount Vernon, IL 62864
(618) 816-6006
✔ PECOS✔ Accepts Medicare0.2 mi
Heather Davis, APRN,FNP-C
Nurse Practitioner
NPI 1053880781
4119 S WATER TOWER PL STE A
Mount Vernon, IL 62864
(618) 816-6006
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mohammed Al-Zoubaidi MD PLLC's NPI number?

The NPI number for Mohammed Al-Zoubaidi MD PLLC is 1710734090. It was assigned to this organization in the NPPES registry on May 3, 2024. The provider is doing business as Al-Zoubaidi Vein And Vascular Center Of Southern Illinois.

Where is Mohammed Al-Zoubaidi MD PLLC located?

Mohammed Al-Zoubaidi MD PLLC is located at 4119 S. Water Tower Plc, Suite A, Mt. Vernon, IL 62864. The listed phone number is (618) 681-1188.

What is Mohammed Al-Zoubaidi MD PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Mohammed Al-Zoubaidi MD PLLC enrolled in Medicare?

Yes. Mohammed Al-Zoubaidi MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mohammed Al-Zoubaidi MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mohammed Al-Zoubaidi MD PLLC, in Nurse Practitioner and Vascular Surgery. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mohammed Al-Zoubaidi MD PLLC was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.