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Active NPI 1033208897 Individual Practitioner Male Practitioner

Mohammad Reza S Ashraf

Pediatrics • Collinsville, IL

Professional Overview & Biography Verified Profile Summary

Mohammad Reza Ashraf is a registered healthcare professional specializing in Pediatrics in Collinsville, IL. Practice services are available at 415 W MAIN ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

415 W Main St Ste 1

Collinsville, IL 622343043

Telephone 6183451224
Fax 6188778206

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Collinsville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Collinsville, IL (3277 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036048540

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036048540 (IL)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 24, 2026

Registered at 415 W MAIN ST STE 1, COLLINSVILLE, IL 622343043 (Tel: 6183451224)

📍
Updated Business Mailing Address July 24, 2026

Registered at 2053 TRAMORE CT, CHESTERFIELD, MO 630178116 (Tel: 6366287761)

NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2016

Registered at 1420 20TH ST, GRANITE CITY, IL 620404607 (Tel: 6188778200)

📍
Updated Business Mailing Address July 06, 2016

Registered at 1420 20TH ST, GRANITE CITY, IL 620404607

👤
Provider Name / Credentials Updated July 06, 2016

Recorded as MOHAMMAD REZA ASHRAF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Pediatrics (License #036048540 in IL)

🟢
Initial NPI Registration & Enumeration October 12, 2006

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: 1033208897
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 24, 2026
Sole Proprietor: Yes

Mailing Address

2053 Tramore Ct

Chesterfield, MO 630178116

Phone: 6366287761

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.