MESUD DEDIC
NPI 1861173817
Nurse Anesthetist, Certified Registered in Belleville, IL

Active since July 31, 2023Accepts Medicare Assignment
4500 MEMORIAL DR, BELLEVILLE, IL 62226(618) 233-7750 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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 affiliated with Memorial Hospital, maintains a secondary practice location in Shiloh, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861173817
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMESUD DEDIC
Location Address4500 MEMORIAL DRBelleville, IL 62226-5360
Mailing Address1951 Greenpoint Dr Apt 304Saint Louis, MO 63122-5241
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 31, 2023
Last NPPES UpdateJune 28, 2024
NPPES CertifiedJune 28, 2024
NPI 1861173817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209029939
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 2017023122 (MO), 041506786 (IL)
4500 MEMORIAL DR, Belleville, IL 62226

Secondary Practice Location 1

Location 11404 Cross StShiloh, IL 62269-2988 · Phone (618) 607-1000

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

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.

PECOS PAC ID2668917907
PECOS Enrollment IDI20240711001356

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, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician 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.

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.

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.

Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
Internal Medicine
4500 MEMORIAL DR
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.

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.