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Active NPI 1457698169 Individual Practitioner Male Practitioner

Mohamad Ata

Nurse Practitioner • Champaign, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mohamad Ata is a certified Nurse Practitioner practicing in Champaign, IL. With approximately 9 years of clinical experience since graduating from Rush Medical College Of Rush University in 2017, Mohamad Ata delivers high-quality medical care to the local community at 1802 S. MATTIS.

Mohamad Ata is affiliated with Rush University Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, psychiatric diagnostic evaluation with medical services, psychotherapy with evaluation and management visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1802 S. Mattis

Champaign, IL 61821

Telephone 2173833311
Fax 6306905282
Associated Practice Facility / Clinic
🏢 The Carle Foundation Hospital Facility NPI 1891780615

Medicare Profile & Education

Medical School

Rush Medical College Of Rush University

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Champaign, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -3.1 yrs vs City Avg
City Avg: 12.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
56 Specialists

Practicing in Champaign, IL (4929 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ata (9 Years) 9 Yrs
Champaign Specialty Average (12.1 Years) 12.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
96 33 $221.00 $108.78

Medical Specialties & State Licenses

CMS Verified: 2025-09-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209017185

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License IL 209017185

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License IL 041398787

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Rush University Medical Group

2150 W Harrison St, Chicago, IL 606123706

Phone: 3129425375

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Angela Miller

Case Manager/Care Coordinator

NPI 1003283953
NPI 1003362153

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Kendall Wallace , APRN

Nurse Practitioner - Family

NPI 1003391061

Advanced Practice Registered Nurse

Anne Fahnestock , PT

Physical Therapist

NPI 1003436742

Physical Therapist

Dr. Robert Kirby , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003836503

Doctor of Medicine (M.D.)

Marguerite Monaco

Case Manager/Care Coordinator

NPI 1013289693

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Nurse Practitioner (License #209017185 in IL)

📍
Updated Practice Location November 27, 2018

Registered at 1802 S. MATTIS, CHAMPAIGN, IL 61821 (Tel: 2173833311)

📍
Updated Business Mailing Address November 27, 2018

Registered at 611 W. PARK ST., FAPC, URBANA, IL 61801 (Tel: 2179025291)

NPI Profile Active January 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2013

Registered at 111 N COUNTY FARM RD, WHEATON, IL 601873977 (Tel: 6306827400)

📍
Updated Business Mailing Address January 15, 2013

Registered at 111 N COUNTY FARM RD, WHEATON, IL 601873977 (Tel: 6306827400)

👤
Provider Name / Credentials Updated January 15, 2013

Recorded as MOHAMAD ATA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2013

Registered Nurse (License #041398787 in IL)

🟢
Initial NPI Registration & Enumeration January 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457698169
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2013
Last Update: September 04, 2025
Sole Proprietor: No

Mailing Address

611 W. Park St., Fapc

Urbana, IL 61801

Phone: 2179025291

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.