ABDUL SAMI KHAN MD
NPI 1295944163
Internal Medicine - Gastroenterology in Pleasant Prairie, WI

Q: What is Abdul Khan's NPI number?

The NPI number for Abdul Khan is 1295944163. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Abdul Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Abdul Khan was last updated on March 4, 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.

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment

9697 SAINT CATHERINES DR, PLEASANT PRAIRIE, WI 53158(262) 653-5330 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2024, Jun 15, 2023, Nov 18, 2020 and 1 more (4 updates tracked since 2016).

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About Abdul Sami Khan Md NPPES

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

ABDUL SAMI KHAN MD (NPI 1295944163) is an individual gastroenterology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (65380-20) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295944163

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameABDUL SAMI KHANCredential: MD

Location Address9697 SAINT CATHERINES DRPleasant Prairie, WI 53158-2118

Mailing AddressFroedtert South, 6308 8th AvenueKenosha, WI 53143 · (262) 577-8522 · Fax (262) 653-5850

Phone(262) 653-5330

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 21, 2007

Last NPPES UpdateMarch 4, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2024

✔ NPI 1295944163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WI · 65380-20✔ Licensed in IL · 036117736

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01073420A (IN)

9697 SAINT CATHERINES DR, Pleasant Prairie, WI 53158

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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

Abdul Sami 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 ID840391272

PECOS Enrollment IDI20160425001920

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 Abdul Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Froedtert South, Inc.

5.5 mi

Family Medicine

6308 8TH AVE
Kenosha, WI 53143

Reassigned Medicare billing, Wisconsin enrollment
212 clinicians in this Medicare group

NPI 1558305284 (262) 656-2718

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

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

90 services87 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

80 services80 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

52 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

45 services44 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services28 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

30 services30 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

20 services17 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

16 services16 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number520021

Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 10

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

MEGAN LEE PA-C

Physician Assistant

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3590

LARONDA JAMES NURSE PRACTITIONER

Nurse Practitioner

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3338

MHD ANAS ALSAWAF MBBS, MD

Orthopaedic Surgery

9697 SAINT CATHERINES DR, STE 200
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3590

DR. NICHOLAS CAIN PT, DPT

Physical Therapist (Sports)

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 577-8141

MICHELLE LOUISE GAUTHIER DO

Family Medicine

9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 577-8320

PAIN CENTERS OF WISCONSIN - KENOSHA, LLC

Clinic/Center (Ambulatory Surgical)

9697 SAINT CATHERINES DR, STE 102
PLEASANT PRAIRIE, WI 53158

Kenosha County (414) 325-7246

DR. ALAN P. GEGENHEIMER D.O.

Orthopaedic Surgery

9697 SAINT CATHERINES DR, SUITE 200
PLEASANT PRAIRIE, WI 53158

Kenosha County (262) 656-3590

ADVANCED PAIN MANAGEMENT SC

Durable Medical Equipment & Medical Supplies

9697 SAINT CATHERINES DR, SUITE 101
PLEASANT PRAIRIE, WI 53158

Kenosha County (414) 325-7246

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 Abdul Khan's NPI number?

The NPI number for Abdul Khan is 1295944163. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Abdul Khan located?

Abdul Khan practices at 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158. The listed phone number is (262) 653-5330.

What is Abdul Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Abdul Khan enrolled in Medicare?

Yes. Abdul 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 Abdul Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abdul Khan reassigns Medicare benefits to Froedtert South, Inc. (Kenosha, WI). 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 Abdul Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abdul Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Network Health list Abdul 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 Abdul Khan affiliated with any hospitals?

According to CMS data, Abdul Khan is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Abdul Khan was last updated on March 4, 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.