Shaji A Mohammed, - Medicare Internal Medicine in Mt. Vernon, IL

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Shaji A Mohammed, is a medicare enrolled "Internal Medicine" physician in Mt. Vernon, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2019 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Good Samaritan Regional Health Center, Decatur Memorial Hospital, Rockford Health Physicians and his current practice location is 1 Good Samaritan Way, Mt. Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 899-1006.

Shaji A Mohammed is licensed to practice in Illinois (license number 036161378) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316504939.

Contact Information

Shaji A Mohammed,
1 Good Samaritan Way,
Mt. Vernon, IL 62864-1010
(618) 899-1006
Not Available

Map and Direction




Physician's Profile

Full NameShaji A Mohammed
GenderMale
SpecialityInternal Medicine
Experience7 Years
Location1 Good Samaritan Way, Mt. Vernon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shaji A Mohammed attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2019
  NPI Data:
  • NPI Number: 1316504939
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 04/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163750712
  • Enrollment ID: I20220829001278

Medical Identifiers

Medical identifiers for Shaji A Mohammed such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316504939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036161378 (Illinois)Primary
208M00000XHospitalist 036161378 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital
Javon Bea HospitalRockford, ILHospital
Good Samaritan Regional Hlth CenterMount vernon, ILHospital
Taylorville Memorial HospitalTaylorville, ILHospital
Mercy Harvard HospitalHarvard, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Regional Health Center1658272059155
Decatur Memorial Hospital6204731144173
Rockford Health Physicians2567374036520

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shaji A Mohammed allows following entities to bill medicare on his behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NameMercy Harvard Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1427001445
PECOS PAC ID: 6204729577
Enrollment ID: O20081103000092
Entity NameTaylorville Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1144292020
PECOS PAC ID: 8022914704
Enrollment ID: O20140109001280

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaji A Mohammed is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shaji A Mohammed,
1005 Broadway,
Quincy, IL 62301-2834

Ph: (217) 223-8400		Shaji A Mohammed,
1 Good Samaritan Way,
Mt. Vernon, IL 62864-1010

Ph: (618) 899-1006

Reviews and Comments


Internal Medicine Doctors in Mt. Vernon, IL

Dr. Stanton G Schultz, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 416 North 12th Street, Southern Illinois Consultants For Kidney Disease, S.c., Mt. Vernon, IL 62864
Phone: 618-244-4850    Fax: 618-244-7985
Dr. Fadi Michel Shamsham, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4115 S. Water Tower Place, Mt. Vernon, IL 62864
Phone: 618-204-5462    Fax: 618-204-5472

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.