Zahoor Ahmed Makhdoom
SOUTHERN ILLINOIS GI SPECIALISTS LLC


Address: 1100 W Diann Ln, Carbondale, IL 62901-5339
Phone: 6185498006

Zahoor Ahmed Makhdoom (NPI# 1982667309, PAC ID# 0840256673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.

Physician Overview

Nation Provider ID (NPI) 1982667309
PAC ID by PECOS 0840256673
Professional Enrollment ID I20041216000555
Full Name Zahoor Ahmed Makhdoom
Organization Legal Name SOUTHERN ILLINOIS GI SPECIALISTS LLC
Address 1100 W Diann Ln
Carbondale
IL 62901-5339
Phone Number 6185498006
Gender M
Credential MD
Graduation Year 2000
Primary Specialty GASTROENTEROLOGY
Group Practice PAC ID 1658337456
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
141334 ST JOSEPH MEMORIAL HOSPITAL
140011 SOUTHERN ILLINOIS HOSPITAL SERVICES DBA HERRIN HOSPITAL
141342 ANNA HOSPITAL CORPORATION D/B/A UNION COUNTY HOSPITAL
140164 MEMORIAL HOSPITAL OF CARBONDALE
140184 HEARTLAND REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1100 W Diann Ln, Carbondale, IL 62901-5339 6185498006 SOUTHERN ILLINOIS GI SPECIALISTS LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
QCDR_EC_GIQIC12_overall Appropriate indication for colonoscopy 81%

Organization Information

Organization Legal Name SOUTHERN ILLINOIS GI SPECIALISTS LLC
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Ellen M Chapman Pogue Nurse Practitioner Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339
Moses O Adeyanju Pathology Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339
Megan M Zimmerman Nurse Practitioner Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339
Amanda R Reaney Physician Assistant Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339

Office Location

Street Address 1100 W DIANN LN
City CARBONDALE
State IL
Zip 62901-5339

Physicians in the same location

Name Specialty Organization Address
Ellen M Chapman Pogue Nurse Practitioner Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339
Moses O Adeyanju Pathology Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339
Megan M Zimmerman Nurse Practitioner Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339
Amanda R Reaney Physician Assistant Southern Illinois Gi Specialists LLC 1100 W Diann Ln, Carbondale, IL 62901-5339

Physicians in the same zip code

Name Specialty Organization Address
Amy Nichole Dinga Nurse Practitioner Southern Illinois Medical Services, Nfp 1400 Financial Park Dr, Carbondale, IL 62901
Carlos Mario Rivera Serrano Plastic and Reconstructive Surgery Southern Illinois Medical Services, Nfp 1400 Financial Park Dr, Carbondale, IL 62901
Kelli Nicole Webb Plastic and Reconstructive Surgery Southern Illinois Medical Services, Nfp 1400 Financial Park Dr, Carbondale, IL 62901
Fakhre Alam Neurology 2731 W Main St, Suite A, Carbondale, IL 62901-1028
Muhammad J Popalzai Hematology/oncology Southern Illinois Medical Services, Nfp 2601 W Main St, Carbondale, IL 62901-1031
Melissa Andrea Martinez Mateo Gastroenterology Southern Illinois Medical Services, Nfp 2601 W Main St, Carbondale, IL 62901-1031
Lukas John Ward Physician Assistant Southern Illinois Medical Services, Nfp 2601 W Main St, Carbondale, IL 62901-1031
Emily D Hanson Family Medicine Southern Illinois Medical Services, Nfp 2601 W Main St, Carbondale, IL 62901-1031
Phillip A Dewey Physician Assistant Southern Illinois Medical Services, Nfp 2601 W Main St, Carbondale, IL 62901-1031
Jessie Nicole Fox Nurse Practitioner Southern Illinois Medical Services, Nfp 2601 W Main St, Carbondale, IL 62901-1031
Find all physicians in zip 62901

Competitor

Search similar physicians

City CARBONDALE
Zip Code 62901
Specialty GASTROENTEROLOGY
City + Specialty CARBONDALE + GASTROENTEROLOGY

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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