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HENNA KHAN MD
NPI 1124760509
Internal Medicine in Decatur, IL

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Henna Khan Md NPPES

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

HENNA KHAN MD (NPI 1124760509) is an individual internal medicine provider in Decatur, Illinois, licensed in Illinois (036174211) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124760509
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHENNA KHANCredential: MD
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address8907 188th StHollis, NY 11423-1914 · (347) 935-6757
Phone(217) 464-2966
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 7, 2022
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1124760509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036174211
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.
1800 E LAKE SHORE DR, Decatur, IL 62521
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Henna Khan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446637060
PECOS Enrollment IDI20251023001565
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.

Medicare Billing Reassignment

Medicare enrollment records show Henna Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America-Illinois Hospitalists, LLP
Same address
Internal Medicine
1800 E LAKE SHORE DR
Decatur, IL 62521
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1306613872 (217) 464-2966

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY KATHERINE KENNEY PA
Physician Assistant (Medical)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
DR. MICHAEL CHOI MD
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2017
CHRISTINE M MEEKER N.P.
Nurse Practitioner
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2126
SOMAN NAIR MD
Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2984
KRISTINA KAY BRADFORD APN
Nurse Practitioner (Family)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966
MRS. KRISTEN LEE GROHNE SLP
Speech-Language Pathologist
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2415
MARY CRISLER
Nurse Practitioner (Psychiatric/Mental Health)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2540
CENTRAL ILLINOIS EMERGENCY PHYSICIANS, LLP
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521
Macon County (217) 464-2966

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 Henna Khan's NPI number?

The NPI number for Henna Khan is 1124760509. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Henna Khan located?

Henna Khan practices at 1800 E Lake Shore Dr, Decatur, IL 62521. The listed phone number is (217) 464-2966.

What is Henna Khan's specialty?

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

Is Henna Khan enrolled in Medicare?

Yes. Henna Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Henna Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henna Khan reassigns Medicare benefits to Cep America-Illinois Hospitalists, LLP (Decatur, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henna Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Henna Khan affiliated with any hospitals?

According to CMS data, Henna Khan is affiliated with St Johns Hospital, Decatur Memorial Hospital and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Henna Khan was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.