DR. NAFEES KHAN MD
NPI 1548255243
Pediatrics - Adolescent Medicine in Mattoon, IL

Q: What is Nafees Khan's NPI number?

The NPI number for Nafees Khan is 1548255243. It was assigned to this individual provider in the NPPES registry on September 19, 2005.

Q: What is Nafees Khan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Nafees Khan was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 19, 2005PECOS Enrolled

2512 HURST DR STE 130, MATTOON, IL 61938(217) 258-5900 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2019, Dec 5, 2019, Jul 12, 2016 (3 updates tracked since 2016).

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About Dr. Nafees Khan Md NPPES

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

DR. NAFEES KHAN MD (NPI 1548255243) is an individual adolescent medicine provider in Mattoon, Illinois, licensed in Illinois (036096917) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Moline.

NPPES Registry Identity

NPI1548255243

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. NAFEES KHANCredential: MD

Location Address2512 HURST DR STE 130Mattoon, IL 61938-9200

Mailing Address611 W. Park St., FapcUrbana, IL 61801 · (217) 902-5291

Phone(217) 258-5900

Sole ProprietorNo

Enumeration DateSeptember 19, 2005

Last NPPES UpdateDecember 12, 20193 updates tracked since enumeration

✔ NPI 1548255243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in IL · 036096917

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2512 HURST DR STE 130, Mattoon, IL 61938

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Secondary Practice Location 1

Location 14376 7th StMoline, IL 61265-6867 · Phone (309) 762-0777

Other Identifiers 3

Medicaid036096917IL

Other99106Wellmark

OtherP00469958IL · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Nafees Khan Md 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.

Other Providers at the Same Location NPPES 5

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

EMILY N HARDIEK NP

Nurse Practitioner (Family)