DR. OTHMAN MAHMOUD MOHAMMAD MD
NPI 1912138660
Psychiatry & Neurology - Child & Adolescent Psychiatry in Champaign, IL
About Dr. Othman Mahmoud Mohammad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. OTHMAN MAHMOUD MOHAMMAD MD (NPI 1912138660) is an individual child & adolescent psychiatry provider in Champaign, Illinois, licensed in Illinois (036166927) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Dr. Othman Mahmoud Mohammad 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.
Medicare Billing Reassignments
2Medicare enrollment records show Othman Mohammad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Palos Hills, IL 60465
- Reassigned Medicare billing, Illinois enrollment
- 23 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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MIMercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIHolland Community Hospital
Acute Care Hospitals · Holland, MITrinity Health Grand Haven Hospital
Acute Care Hospitals · Grand Haven, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAMPAIGN, IL 61821
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 Othman Mohammad's NPI number?
The NPI number for Othman Mohammad is 1912138660. It was assigned to this individual provider in the NPPES registry on July 29, 2009.
Where is Othman Mohammad located?
Othman Mohammad practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 365-2855.
What is Othman Mohammad's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Othman Mohammad enrolled in Medicare?
Yes. Othman Mohammad 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 Othman Mohammad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Othman Mohammad reassigns Medicare benefits to 2 organizations: Carle Health Medical Group (Urbana, IL) and Metropolitan Family Services (Palos Hills, IL). 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 Othman Mohammad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Othman Mohammad accept?
Health plans from Oscar Insurance Company list Othman Mohammad 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 Othman Mohammad affiliated with any hospitals?
According to CMS data, Othman Mohammad is affiliated with Spectrum Health, Mercy Health Saint Mary's, Holland Community Hospital and Trinity Health Grand Haven Hospital.
When was this NPI record last updated?
The NPPES record for Othman Mohammad was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Othman Mahmoud Mohammad, MD · NPI 1912138660
Child & Adolescent Psychiatry physician in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since July 29, 2009.
## Identity
- **NPI:** 1912138660 (Entity type: Individual)
- **Enumerated:** July 29, 2009
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 036166927 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1802 S MATTIS AVE, Champaign, IL 61821-5923
- **Phone:** (217) 365-2855 · **Fax:** (217) 365-2856
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Metropolitan Family Services (NPI 1518174150, Palos Hills, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912138660) · Data from the CMS NPPES public registry.