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Mohammad Tabatabaei PA in Sullivan, Illinois

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Mohammad Tabatabaei PA has Physician Assistant as his primary medical specialty. Their primary office is: 1220 W Jackson St in Sullivan, Illinois. There is an additional office location, for a total of two, for Mohammad Tabatabaei PA that can be viewed further down.

They're a part of the: Decatur Memorial Hospital medical group which has around 131 members. You can call their office at 217-728-2042 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, his university is not listed and graduated in 2004 (around 20 years of experience). They are listed as doing telehealth appointments.


Mohammad R Tabatabaei PA Office Phone and Directions

Mohammad Tabatabaei PA
Decatur Memorial Hospital
1220 W Jackson St
Sullivan, Illinois 61951
217-728-2042


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Phone: 217-728-2042


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Healthcare Info for Mohammad Tabatabaei PA

Medical School: Sorry, his university is not listed
Graduation Year: 2004
The Primary Medical Specialty for Mohammad Tabatabaei PA is listed as: Physician Assistant
Credentials: PA
Additional Credentials:
Approximate Years of Experience: 20
PAC (PECOS ID)#: 5092771535
NPI #: 1215954813
NPI Created On: 07/17/2006
NPI Last Updated Listed as: 01/10/2023
Primary Taxonomy Code: 363A00000X
License Number:
085-002332
Listed Gender: Male

Procedures, Services, Charges


Services and Procedures include:

  1. Anti-clotting management for patient taking warfarin
  2. New patient office or other outpatient visit, typically 45 minutes
  3. Established patient office or other outpatient visit, typically 15 minutes
  4. Established patient office or other outpatient, visit typically 25 minutes
  5. Physician telephone patient service, 5-10 minutes of medical discussion
  6. Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Third party is a Charity:: No

Record ID:: 788001635

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Cardiovascular & Metabolism

Name of Drug #1: XARELTO

Open Associated Drug #1: 50458-580-30


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 819318119

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: TRULICITY

Open Associated Drug #1: 0002-1433-80

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: JARDIANCE

Associated Drug #2: 0597-0152-37


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 819383041

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: TRULICITY

Open Associated Drug #1: 0002-1433-80

Drug or Biological: Drug

Product Category #2: Diabetes

Name Of Drug #2:: JARDIANCE

Associated Drug #2: 0597-0152-37


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 803022107

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: RESPIRATORY

Name of Drug #1: TRELEGY ELLIPTA

Open Associated Drug #1: 0173-0887-14


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 810707769

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Diabetes

Name of Drug #1: Ozempic

Open Associated Drug #1: 0169-4132-12


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 810822735

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Obesity

Name of Drug #1: Saxenda

Open Associated Drug #1: 0169-2800-15


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811372191

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Obesity

Name of Drug #1: Saxenda

Open Associated Drug #1: 0169-2800-15


Payments Total: $17

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 811599967

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Obesity

Name of Drug #1: Saxenda

Open Associated Drug #1: 0169-2800-15


Payments Total: $11

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 843589277

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Endocrine & Metabolic Diseases

Name of Drug #1: SOLIQUA 100/33

Open Associated Drug #1: 0024-5761-05

Drug or Biological: Biological

Product Category #2: Endocrine & Metabolic Diseases

Name Of Drug #2:: TOUJEO

Associated Drug #2: 0024-5869-03


Payments Total: $16

Number of Payments:: 1

Form of Payment: In-kind items and services

Ownership Interest:

Record ID:: 843589297

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: Endocrine & Metabolic Diseases

Name of Drug #1: SOLIQUA 100/33

Open Associated Drug #1: 0024-5761-05


Additional Office Locations

1. Decatur Memorial Hospital
241 W Weaver Rd
Forsyth, IL 62535
Suite 145b
Group Members: 131

Phone: 217-728-2042

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Providers in Decatur Memorial Hospital

1.Samaj Adhikari

241 W Weaver Rd
Forsyth Il 62535-9766
Decatur Memorial Hospital
Internal Medicine

2.Mohitkumar Ajmeri

441 W Hay St
Decatur Il 62526-6324
Decatur Memorial Hospital
Family Practice

3.Mohitkumar Ajmeri

441 W Hay St
Decatur Il 62526-6325
Decatur Memorial Hospital
Family Practice

4.Nadal Aker Md

241 W Weaver Rd
Forsyth Il 62535-9766
Decatur Memorial Hospital
Cardiovascular Disease (cardiology)

5.Olutola Akiode

241 W Weaver Rd
Forsyth Il 62535-9766
Decatur Memorial Hospital
Critical Care (intensivists)

6.Babatunde Alao

241 W Weaver Rd
Forsyth Il 62535-9766
Decatur Memorial Hospital
Hospitalist

View all 131 members of Decatur Memorial Hospital medical group