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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. 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: August 30, 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 1405 W Jackson StCarbondale, IL 62901-1467 · Phone (618) 549-0721 · Fax (618) 529-0414
Location 21000 Health Center DrMattoon, IL 61938-4644 · Phone (217) 238-4325 · Fax (217) 348-4920
Location 31045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000

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 Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Mohammed Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers 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 49 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.