Southern Illinois Heart and Vascular Center, PC
NPI 1497984389 · Cardiovascular Disease Physician · Mt. Vernon, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Illinois Heart and Vascular Center, PC is a Cardiovascular Disease Physician organization in Mt. Vernon, IL (NPI 1497984389).
Provider details
- NPI number
- 1497984389
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fadi Shamsham, President(941) 735-8419
- License
- 036123701 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-07-13
- Last updated
- 2009-07-13
Frequently asked questions
- What is Southern Illinois Heart and Vascular Center, PC's NPI number?
- Southern Illinois Heart and Vascular Center, PC's National Provider Identifier (NPI) is 1497984389, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Heart and Vascular Center, PC?
- Southern Illinois Heart and Vascular Center, PC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Illinois Heart and Vascular Center, PC located?
- Southern Illinois Heart and Vascular Center, PC's practice location on file with NPPES is 4115 South Water Tower Place, Mt. Vernon, IL 62864-6293.
- What is Southern Illinois Heart and Vascular Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Heart and Vascular Center, PC is (941) 735-8419.
- Does Southern Illinois Heart and Vascular Center, PC accept Medicare?
- Southern Illinois Heart and Vascular Center, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Illinois Heart and Vascular Center, PC?
- The authorized official listed on Southern Illinois Heart and Vascular Center, PC's NPPES record is Fadi Shamsham, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Heart and Vascular Center, PC's NPI active?
- Yes — Southern Illinois Heart and Vascular Center, PC's NPI (1497984389) is active in the NPPES registry as of the last update on 2009-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.