MESUD DEDIC
NPI 1861173817
Nurse Anesthetist, Certified Registered in Belleville, IL
About Mesud Dedic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MESUD DEDIC (NPI 1861173817) is an individual nurse anesthetist, certified registered in Belleville, Illinois, licensed in Illinois (209029939) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Shiloh.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Mesud Dedic 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.
Medicare Billing Reassignment
Medicare enrollment records show Mesud Dedic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63136
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Midwest Anesthesia Providers Sc
- 253 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Acute Care Hospitals · Belleville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
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 Mesud Dedic's NPI number?
The NPI number for Mesud Dedic is 1861173817. It was assigned to this individual provider in the NPPES registry on July 31, 2023.
Where is Mesud Dedic located?
Mesud Dedic practices at 4500 Memorial Dr, Belleville, IL 62226. The listed phone number is (618) 233-7750.
What is Mesud Dedic's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mesud Dedic enrolled in Medicare?
Yes. Mesud Dedic 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 organization bills Medicare for Mesud Dedic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mesud Dedic reassigns Medicare benefits to Midwest Anesthesia Providers S.C (Saint Louis, MO). The 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 Mesud Dedic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mesud Dedic affiliated with any hospitals?
According to CMS data, Mesud Dedic is affiliated with Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Mesud Dedic was last updated on June 28, 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.
# Mesud Dedic · NPI 1861173817
Nurse Anesthetist, Certified Registered physician in Belleville, Illinois. Individual provider, active in the CMS NPPES registry since July 31, 2023.
## Identity
- **NPI:** 1861173817 (Entity type: Individual)
- **Enumerated:** July 31, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209029939 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 MEMORIAL DR, Belleville, IL 62226-5360
- **Phone:** (618) 233-7750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Midwest Anesthesia Providers S.C (NPI 1295189082, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861173817) · Data from the CMS NPPES public registry.