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DR. MOHAMMED ALI KHAN M.D.
NPI 1396953485
Pediatrics in Pekin, IL

Active since May 20, 2007PECOS Enrolled
3212 COURT ST, PEKIN, IL 61554(309) 306-1234(309) 213-9661 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 17, 2026, Mar 11, 2025, Sep 30, 2022 (3 updates tracked since 2022).

About Dr. Mohammed Ali Khan M.d. NPPES

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

DR. MOHAMMED ALI KHAN M.D. (NPI 1396953485) is an individual pediatrics provider in Pekin, Illinois, licensed in Illinois (036123108) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396953485
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MOHAMMED ALI KHANCredential: M.D.
Location Address3212 COURT STPekin, IL 61554-6209
Mailing Address3212 Court StPekin, IL 61554-6209 · (309) 306-1234 · Fax (309) 213-9661
Phone(309) 306-1234
Fax(309) 213-9661
Sole ProprietorNo
Enumeration DateMay 20, 2007
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1396953485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036123108
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedHospitalistTaxonomy 208M00000X · License 036123108 (IL)
3212 COURT ST, Pekin, IL 61554
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000
Location 2405 W Jackson StCarbondale, IL 62901-1467 · Phone (618) 549-0721 · Fax (618) 529-0414
Location 31000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4325 · Fax (217) 348-4920

Other Identifiers 2

Other09015685IL · Bcbs Of Il
Medicaid036123108IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Blue Cross and Blue Shield of Nebraska 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 (PECOS)

Dr. Mohammed Ali Khan 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.

Medicare Billing Reassignments

5

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

Sarah Bush Lincoln Health Center
102 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
Freeport Memorial Hospital
121 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Freeport Regional Health Care Foundation
121 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Southern Illinois Medical Services, Nfp
196 mi
Internal Medicine
1239 E MAIN ST
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 702 clinicians in this Medicare group
NPI 1770656837 (618) 457-5200
Panhandle Health Services
735 mi
Specialist
3911 AVENUE B STE 3400
Scottsbluff, NE 69361
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Regional West Physicians Clinic
  • 208 clinicians in this Medicare group
NPI 1114065216 (308) 635-8900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61554 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
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.39 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

DR. GERARDO F SANTANA
Dentist (General Practice)
3212 COURT ST
PEKIN, IL 61554
Tazewell County (309) 347-8590

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 Mohammed Khan's NPI number?

The NPI number for Mohammed Khan is 1396953485. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Mohammed Khan located?

Mohammed Khan practices at 3212 Court St, Pekin, IL 61554. The listed phone number is (309) 306-1234.

What is Mohammed Khan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mohammed Khan enrolled in Medicare?

Yes. Mohammed Khan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mohammed Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohammed Khan reassigns Medicare benefits to 5 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Freeport Memorial Hospital (Freeport, IL), Freeport Regional Health Care Foundation (Freeport, IL), Southern Illinois Medical Services, Nfp (Carbondale, IL) and Panhandle Health Services (Scottsbluff, NE). 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 Mohammed Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohammed Khan accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Mohammed 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.

When was this NPI record last updated?

The NPPES record for Mohammed Khan was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.