Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohamad Ata

Individual provider Nurse Practitioner · NPI 1457698169

Mohamad Ata is a Nurse Practitioner in Champaign, Illinois. Graduated from Rush Medical College of Rush University in 2017, 9 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

1802 S Mattis
Champaign, IL 61821
Phone: (217) 383-3311
Fax: (630) 690-5282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209017185 (IL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209017185 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041398787 (IL)

Record details

NPI number1457698169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2013
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address611 W. Park St., Fapc, Urbana, IL 61801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Champaign