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MOHAMMAD AJMAL KHAN M.D.
NPI 1487653838
Internal Medicine in Oak Park, IL

Active since July 19, 2005PECOS Enrolled
610 S MAPLE AVE, SUITE 3440, OAK PARK, IL 60304(708) 660-5017(708) 660-5349 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mohammad Ajmal Khan M.d. NPPES

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

MOHAMMAD AJMAL KHAN M.D. (NPI 1487653838) is an individual internal medicine provider in Oak Park, Illinois, licensed in Illinois (036094223) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487653838
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMOHAMMAD AJMAL KHANCredential: M.D.
Location Address610 S MAPLE AVE, SUITE 3440Oak Park, IL 60304-1091
Mailing AddressPo Box 1120Matteson, IL 60443-4120 · (708) 747-5850 · Fax (708) 747-9991
Phone(708) 660-5017
Fax(708) 660-5349
Sole ProprietorYes
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 15, 2010
✔ NPI 1487653838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036094223
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
610 S MAPLE AVE, Oak Park, IL 60304
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Other Identifiers 10

Medicare PINIL1790001IL
Medicare PIN210183IL
Medicaid036094223IL
Medicare PINIL1790IL
Medicare UPING67259IL
Medicare PINIL1716001IL
Medicare PINP00376759IL
Medicare PINIL1716IL
Medicare PINK11577IL
Medicare PINDD3356IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammad Ajmal 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

3

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

Cole Physician Services LLC
325 mi
Hospitalist
100 ST. MARY'S MEDICAL PLAZA
Jefferson City, MO 65101
  • Reassigned Medicare billing, Missouri enrollment
  • 93 clinicians in this Medicare group
NPI 1144578659 (573) 761-7011
Mercy Clinic Springfield Communities
325 mi
Rural Health
114 DOWNEY PL
Cuba, MO 65453
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
NPI 1063541704 (573) 885-3358
Butler Physician Services, LLC
378 mi
Internal Medicine
3100 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1982056545 (573) 776-2000

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 60304 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
49%80 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ASHLEY SERFILIPPI
Student in an Organized Health Care Education/Training Program
610 S MAPLE AVE
OAK PARK, IL 60304
Cook County (708) 660-4300
HEALTH DELIVERY MANAGEMENT, LLC
Pharmacy (Community/Retail Pharmacy)
610 S MAPLE AVE, SUITE 1600
OAK PARK, IL 60304
Cook County (708) 660-6822
BRENDAN NAMOFF
Nurse Anesthetist, Certified Registered
610 S MAPLE AVE
OAK PARK, IL 60304
Cook County (312) 942-5000
MIDWEST GI AND HEPATOLOGY, LLC
Internal Medicine (Gastroenterology)
610 S MAPLE AVE, SUITE 2600
OAK PARK, IL 60304
Cook County (708) 290-1010
DR. BERNARD L CONIGLIO JR. M.D.
Internal Medicine
610 S MAPLE AVE, SUITE 2100
OAK PARK, IL 60304
Cook County (708) 660-2240
ENCOUNTER MEDICAL GROUP, P.C.
Community/Behavioral Health
610 S MAPLE AVE, SUITE 3400
OAK PARK, IL 60304
Cook County (708) 613-4750
DR. JUDY A CARTER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
610 S MAPLE AVE, SUITE 2100
OAK PARK, IL 60304
Cook County (708) 660-2240
RUSH PRESBYTERIAN ST. LUKES MEDICAL CENTER
Internal Medicine
610 S MAPLE AVE, SUITE 3900
OAK PARK, IL 60304
Cook County (708) 524-1674

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 1487653838. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Mohammad Khan located?

Mohammad Khan practices at 610 S Maple Ave Suite 3440, Oak Park, IL 60304. The listed phone number is (708) 660-5017.

What is Mohammad Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohammad Khan enrolled in Medicare?

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

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 3 organizations: Cole Physician Services LLC (Jefferson City, MO), Mercy Clinic Springfield Communities (Cuba, MO) and Butler Physician Services, LLC (Poplar Bluff, MO). 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.

When was this NPI record last updated?

The NPPES record for Mohammad Khan was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.