1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Internal Medicine
  6. NPI Profile

KHALIL J HAIDERZAD M.D.
NPI 1184721839
Internal Medicine in Poplar Bluff, MO

Active since September 17, 2006PECOS Enrolled
1500 N WESTWOOD BLVD, JOHN J PERSHING VAMC, POPLAR BLUFF, MO 63901(573) 778-4441 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khalil J Haiderzad M.d. NPPES

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

KHALIL J HAIDERZAD M.D. (NPI 1184721839) is an individual internal medicine provider in Poplar Bluff, Missouri, licensed in Nebraska (19187) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184721839
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKHALIL J HAIDERZADCredential: M.D.
Location Address1500 N WESTWOOD BLVD, JOHN J PERSHING VAMCPoplar Bluff, MO 63901-3318
Mailing Address1500 N Westwood Blvd, John J Pershing VamcPoplar Bluff, MO 63901-3318 · (573) 778-4441
Phone(573) 778-4441
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1184721839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NE · 19187
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.
1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khalil J Haiderzad 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 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

DR. KAYLA S MELTON O.D.
Optometrist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4303
DR. MERCY RATHINI SABAPATHYPILLAI M.D.
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 472-2139
AMANDA RENAE FLORY D.O.
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MAGEN BARNES
Registered Nurse
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MS. JOLENE M WOLF FNP
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MR. OSCAR BRIAN SMITH I RRT
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
ROCHELLE POYNOR RRT
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
PAMELA G HARNESS LCSW
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151

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 Khalil Haiderzad's NPI number?

The NPI number for Khalil Haiderzad is 1184721839. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Khalil Haiderzad located?

Khalil Haiderzad practices at 1500 N Westwood Blvd John J Pershing Vamc, Poplar Bluff, MO 63901. The listed phone number is (573) 778-4441.

What is Khalil Haiderzad's specialty?

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

Is Khalil Haiderzad enrolled in Medicare?

Yes. Khalil Haiderzad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khalil Haiderzad was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.