FADI M. SHAMSHAM M.D. – NPI #1942203971
Internal Medicine

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

FADI SHAMSHAM is a physician located in MOUNT VERNON, IL. NPPES has assigned the NPI number 1942203971 to FADI SHAMSHAM on May 23, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology

The NPI profile was previously updated about 16 years ago on Apr 19, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FADI SHAMSHAM below.

NPI Profile for
FADI M. SHAMSHAM

NPI Number
1942203971
Enumeration Date

(more than 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FADI M. SHAMSHAM
Credentials
M.D.
Primary location
4115 S. WATER TOWER PLACE
MOUNT VERNON, IL 62864
Phone: (618) 204-5462 Fax: (618) 204-5472
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for FADI SHAMSHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036123701
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RI0011X
- Internal Medicine / Interventional Cardiology (Primary)
IL 036123701
207RC0000X
- Internal Medicine / Cardiovascular Disease
IL 036123701
207R00000X
- Internal Medicine
IL 036123701

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
FADI SHAMSHAM is affiliated with the following medical group(s):
  • HOSPITAL
    • CROSSROADS COMMUNITY HOSPITAL
      8 DOCTORS PARK RD
      MOUNT VERNON, IL 62864
    • SALEM TOWNSHIP HOSPITAL
      1201 RICKER DRIVE
      SALEM, IL 62881
    • SSM HEALTH - GOOD SAMARITAN HOSPITAL
      1 GOOD SAMARITAN WAY
      MOUNT VERNON, IL 62864
    • SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA
      400 NORTH PLEASANT AVENUE
      CENTRALIA, IL 62801

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