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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KHALIL QATO MD
NPI 1386087070
Surgery - Vascular Surgery in Springfield, IL

Active since April 11, 2013PECOS EnrolledAccepts Medicare Assignment
747 N RUTLEDGE ST FL 4, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 25, 2026, Jul 15, 2024, Aug 18, 2022 (3 updates tracked since 2022).

About Dr. Khalil Qato Md NPPES

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

DR. KHALIL QATO MD (NPI 1386087070) is an individual vascular surgery provider in Springfield, Illinois, licensed in Illinois (036.161375) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386087070
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. KHALIL QATOCredential: MD
Location Address747 N RUTLEDGE ST FL 4Springfield, IL 62702-6700
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(217) 545-8000
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2013
Enumeration DateApril 11, 2013
Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1386087070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in IL · 036.161375
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
747 N RUTLEDGE ST FL 4, Springfield, IL 62702
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1700 Pasquinelli DrWestmont, IL 60559-1382 · Phone (630) 323-8690 · Fax (630) 323-8657
Location 28626 Hotchkiss DrFrankfort, IL 60423-8597 · Phone (708) 653-8011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Khalil Qato 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 ID5698026060
PECOS Enrollment IDI20220831003654
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

3

Medicare enrollment records show Khalil Qato reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc
0.5 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Makrismd LLC
165 mi
Vascular & Interventional Radiology
700 PASQUINELLI DR
Westmont, IL 60559
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1134406291 (630) 323-8690
Loyola University Medical Center
171 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215

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 9

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.

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.
84 services74 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.
47 services47 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
37 services36 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
36 services36 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
23 services23 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.
23 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Loyola Gottlieb Memorial Hospital

Acute Care Hospitals · Melrose Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140008
Location701 West North AveMelrose Park, IL 60160 · Cook County
Emergency services

Macneal Hospital

Acute Care Hospitals · Berwyn, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140054
Location3249 South Oak Park AvenueBerwyn, IL 60402 · Cook County
Emergency services Birthing friendly

Loyola University Medical Center

Acute Care Hospitals · Maywood, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140276
Location2160 S 1st AvenueMaywood, IL 60153 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

DR. MUKUL BHATTARAI MD.
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
TEAH QVAVADZE MD
Surgery (Vascular Surgery)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JESSICA L FULTZ NP
Nurse Practitioner (Family)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNIE SYED
Surgery (Vascular Surgery)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. LORELA BERBERI WEISE MD
Surgery
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
HAYLIE A DAMHOFF DNP, FNP-BC
Nurse Practitioner (Family)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. LAURA CARRIHILL HEALY MD
Surgery (Vascular Surgery)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JULIE BORJON N.P.
Nurse Practitioner (Family)
747 N RUTLEDGE ST FL 4
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Qato's NPI number?

The NPI number for Khalil Qato is 1386087070. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Khalil Qato located?

Khalil Qato practices at 747 N Rutledge St Fl 4, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Khalil Qato's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Khalil Qato enrolled in Medicare?

Yes. Khalil Qato 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 Khalil Qato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khalil Qato reassigns Medicare benefits to 3 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL), Makrismd LLC (Westmont, IL) and Loyola University Medical Center (Maywood, IL). 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 Khalil Qato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khalil Qato accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Khalil Qato 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 Khalil Qato affiliated with any hospitals?

According to CMS data, Khalil Qato is affiliated with Loyola Gottlieb Memorial Hospital, Macneal Hospital and Loyola University Medical Center.

When was this NPI record last updated?

The NPPES record for Khalil Qato was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.