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MOHAMMAD SIDDIQUE KHAN
NPI 1376070540
Internal Medicine - Hematology & Oncology in Newburgh, IN

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
4055 GATEWAY BLVD, NEWBURGH, IN 47630(812) 858-0723 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, Jun 24, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Mohammad Siddique Khan NPPES

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

MOHAMMAD SIDDIQUE KHAN (NPI 1376070540) is an individual hematology & oncology provider in Newburgh, Indiana, licensed in Indiana (01093403A) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1376070540
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMOHAMMAD SIDDIQUE KHAN
Location Address4055 GATEWAY BLVDNewburgh, IN 47630-7451
Mailing Address4055 Gateway BlvdNewburgh, IN 47630-7451
Phone(812) 858-0723
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateMay 17, 2017
Last NPPES UpdateJuly 19, 20244 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1376070540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in IN · 01093403A
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58008291 (OH)
4055 GATEWAY BLVD, Newburgh, IN 47630
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mohammad Siddique Khan 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 ID648548453
PECOS Enrollment IDI20240703000727
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 Mohammad Khan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Specialty Physicians, Inc
Same address
Hematology & Oncology
4055 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 264 clinicians in this Medicare group
NPI 1477228534 (812) 858-3051
Good Samaritan Hospital Physician Services, Inc
48 mi
Nurse Practitioner
429 S 6TH ST
Vincennes, IN 47591
  • Reassigned Medicare billing, Indiana enrollment
  • 171 clinicians in this Medicare group
NPI 1336576875 (812) 885-8690
Regents Of The University Of California
1,901 mi
Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
NPI 1235322348 (415) 353-9720
University Of California San Francisco
1,903 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
1,903 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
67 services67 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.
62 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services24 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.
33 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150042
Location520 S 7th StVincennes, IN 47591 · Knox County
Emergency services Birthing friendly

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Gibson General Hospital

Critical Access Hospitals · Princeton, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151319
Location1808 Sherman DrPrinceton, IN 47670 · Gibson County
Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

HAILEY E STURM PA
Physician Assistant
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-3051
ALLISON JO MARTIN NP
Nurse Practitioner
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-3051
EMILY CHRISTINE YORK
Nurse Practitioner
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-3051
KELLI SHEA DEMPSEY ACNP-C
Nurse Practitioner (Acute Care)
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-2210
RACHEL ANN CRON PA-C
Physician Assistant
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-2210
AUDREY B VOYLES PA-C
Physician Assistant
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-2210
SARAH HOOD BSPHARM BCOP
Pharmacist (Oncology)
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-5960
MEGAN ETTENSOHN PA
Physician Assistant
4055 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-3051

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 Mohammad Khan's NPI number?

The NPI number for Mohammad Khan is 1376070540. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Mohammad Khan located?

Mohammad Khan practices at 4055 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 858-0723.

What is Mohammad Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mohammad Khan enrolled in Medicare?

Yes. Mohammad 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 Mohammad Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammad Khan reassigns Medicare benefits to 5 organizations: Deaconess Specialty Physicians, Inc (Newburgh, IN), Good Samaritan Hospital Physician Services, Inc (Vincennes, IN), Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Mohammad Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammad Khan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mohammad 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 Mohammad Khan affiliated with any hospitals?

According to CMS data, Mohammad Khan is affiliated with Good Samaritan Hospital, Deaconess Hospital Inc, Greene County General Hospital, Gibson General Hospital and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Mohammad Khan was last updated on July 19, 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.