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MRS. MINA FATTAH KHUDHAIR M.D.
NPI 1033809074
Internal Medicine in Mchenry, IL

Active since May 12, 2023PECOS Enrolled
4309 W MEDICAL CENTER DRIVE MCHENRY IL 60050, SUITE A104, MCHENRY, IL 60050(815) 759-4726 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Nov 13, 2023, May 12, 2023 (3 updates tracked since 2023).

About Mrs. Mina Fattah Khudhair M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MINA FATTAH KHUDHAIR M.D. (NPI 1033809074) is an individual internal medicine provider in Mchenry, Illinois, licensed in Illinois (125082064) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033809074
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. MINA FATTAH KHUDHAIRCredential: M.D.
Location Address4309 W MEDICAL CENTER DRIVE MCHENRY IL 60050, SUITE A104Mchenry, IL 60050
Mailing Address4309 W Medical Center Drive Mchenry Il 60050, Suite A104Mchenry, IL 60050 · (815) 759-4726
Phone(815) 759-4726
Sole ProprietorNo
Enumeration DateMay 12, 2023
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
✔ NPI 1033809074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125082064
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4309 W MEDICAL CENTER DRIVE MCHENRY IL 60050, Mchenry, IL 60050
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mina Fattah Khudhair M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Fattah Khudhair's NPI number?

The NPI number for Mina Fattah Khudhair is 1033809074. It was assigned to this individual provider in the NPPES registry on May 12, 2023.

Where is Mina Fattah Khudhair located?

Mina Fattah Khudhair practices at 4309 W Medical Center Drive Mchenry Il 60050 Suite A104, Mchenry, IL 60050. The listed phone number is (815) 759-4726.

What is Mina Fattah Khudhair's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mina Fattah Khudhair enrolled in Medicare?

Yes. Mina Fattah Khudhair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mina Fattah Khudhair was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.