MOHAMMED ADNAN KHALEELUDDIN D.O.
NPI 1609317387
Family Medicine in Glenwood, IL

Q: What is Mohammed Adnan Khaleeluddin's NPI number?

The NPI number for Mohammed Adnan Khaleeluddin is 1609317387. It was assigned to this individual provider in the NPPES registry on March 15, 2017. The provider is also known as Mohammed Adnan.

Q: What is Mohammed Adnan Khaleeluddin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 15, 2017PECOS Enrolled

19310 S HALSTED ST, GLENWOOD, IL 60425(708) 300-3132(708) 300-3149 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2023, Aug 21, 2020, Mar 15, 2017 (3 updates tracked since 2017).

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About Mohammed Adnan Khaleeluddin D.o. NPPES

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

MOHAMMED ADNAN KHALEELUDDIN D.O. (NPI 1609317387) is an individual family medicine provider in Glenwood, Illinois, licensed in Illinois (036152505) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609317387

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMOHAMMED ADNAN KHALEELUDDINCredential: D.O.

Location Address19310 S HALSTED STGlenwood, IL 60425-1562

Mailing Address19310 S Halsted StGlenwood, IL 60425-1562 · (708) 300-3132 · Fax (708) 300-3149

Phone(708) 300-3132

Fax(708) 300-3149

Sole ProprietorYes

Enumeration DateMarch 15, 2017

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1609317387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036152505

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

19310 S HALSTED ST, Glenwood, IL 60425

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Other Names 1

Former Name (1)Mohammed Adnan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohammed Adnan Khaleeluddin D.o. 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 Reassignment

Medicare enrollment records show Mohammed Adnan Khaleeluddin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmr Illinois Holding, LLC

1,156 mi

Specialist

1395 NW 167TH ST
Miami Gardens, FL 33169

Reassigned Medicare billing, Illinois enrollment
75 clinicians in this Medicare group

NPI 1770038671 (305) 831-4760

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 60425 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 8

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

YVONNE ANNETTE ALLEN

Nurse Practitioner (Family)