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DR. HADI MOHAMMAD KHAN M.D.
NPI 1265605679
Surgery in Green Bay, WI

Active since April 07, 2008PECOS EnrolledAccepts Medicare Assignment
720 S VANBUREN ST, SUITE 201, GREEN BAY, WI 54301(920) 433-7488(920) 433-7439 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hadi Mohammad Khan M.d. NPPES

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

DR. HADI MOHAMMAD KHAN M.D. (NPI 1265605679) is an individual surgery provider in Green Bay, Wisconsin, licensed in Wisconsin (64318-20) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Aberdeen, and maintains a secondary practice location in Aberdeen.

NPPES Registry Identity

NPI1265605679
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. HADI MOHAMMAD KHANCredential: M.D.
Location Address720 S VANBUREN ST, SUITE 201Green Bay, WI 54301-3534
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Phone(920) 433-7488
Fax(920) 433-7439
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateApril 7, 2008
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1265605679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WI · 64318-20✔ Licensed in SD · 13520
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
720 S VANBUREN ST, Green Bay, WI 54301
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Secondary Practice Location 1

Location 13015 3rd Ave SEAberdeen, SD 57401-5418 · Phone (605) 226-5500

Other Identifiers 1

Other64318-20WI · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Wellmark of South Dakota, Inc..Insurance ›

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

Dr. Hadi Mohammad Khan M.d. 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 ID840509170
PECOS Enrollment IDI20230208001279
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 Reassignments

5

Medicare enrollment records show Hadi Khan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Agnesian Healthcare, Inc
54 mi
General Acute Care Hospital
430 E DIVISION ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1346228541 (920) 929-2300
Divine Savior Healthcare, Inc.
97 mi
General Acute Care Hospital
2817 NEW PINERY RD
Portage, WI 53901
  • Reassigned Medicare billing, Wisconsin enrollment
  • 359 clinicians in this Medicare group
NPI 1124083894 (608) 742-4131
Dean Health Systems, Inc
122 mi
Allergy & Immunology
1211 FISH HATCHERY RD
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,377 clinicians in this Medicare group
NPI 1053358846 (608) 252-8000
Sanford Health Network
408 mi
Rural Health
112 SAINT OLAF AVE S
Canby, MN 56220
  • Reassigned Medicare billing, South Dakota enrollment
  • 422 clinicians in this Medicare group
NPI 1437243607 (507) 223-7221
St. Vincent Hospital
1,080 mi
Surgery
1213 GUSDORF ROAD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
NPI 1265790216 (505) 913-3490

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

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

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430097
Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

VICTOR ADALBERT GERALDEZ DE VILLA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
720 S VANBUREN ST, SUITE 104
GREEN BAY, WI 54301
Brown County (920) 433-6050
SHIRLEY M JEAN-BAPTISTE APNP
Nurse Practitioner (Family)
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-7488
BAILEY E HAVLOVITZ PA-C
Physician Assistant
720 S VANBUREN ST
GREEN BAY, WI 54301
Brown County (920) 468-3444
CHERYL L BAILEY M.D.
Obstetrics & Gynecology
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
BELLIN MEMORIAL HOSPITAL INC
Surgery
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488
RENEE R SMITH CNM,APNP
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
MRS. SANDRA RENEE PELNAR C.N.M., W.H.N.P.
Advanced Practice Midwife
720 S VANBUREN ST, SUITE 101
GREEN BAY, WI 54301
Brown County (920) 433-3420
CARMEN D. ANDERSON APNP
Nurse Practitioner (Family)
720 S VANBUREN ST, SUITE 201
GREEN BAY, WI 54301
Brown County (920) 433-7488

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 Hadi Khan's NPI number?

The NPI number for Hadi Khan is 1265605679. It was assigned to this individual provider in the NPPES registry on April 7, 2008.

Where is Hadi Khan located?

Hadi Khan practices at 720 S Vanburen St Suite 201, Green Bay, WI 54301. The listed phone number is (920) 433-7488.

What is Hadi Khan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Hadi Khan enrolled in Medicare?

Yes. Hadi 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 organizations bill Medicare for Hadi Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hadi Khan reassigns Medicare benefits to 5 organizations: Agnesian Healthcare, Inc (Fond Du Lac, WI), Divine Savior Healthcare, Inc. (Portage, WI), Dean Health Systems, Inc (Madison, WI), Sanford Health Network (Canby, MN) and St. Vincent Hospital (Taos, NM). Each 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 Hadi Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hadi Khan accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Wellmark of South Dakota, Inc. list Hadi Khan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hadi Khan affiliated with any hospitals?

According to CMS data, Hadi Khan is affiliated with Sanford Medical Center Aberdeen.

When was this NPI record last updated?

The NPPES record for Hadi Khan was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.