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

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: August 02, 2026.

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

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
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

Other Names 1

Former Name (1)Mohammed Adnan

Medicare Participation & PECOS CMS

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

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.

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.

Nurse Practitioner (Family)
19310 S HALSTED ST
GLENWOOD, IL 60425
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Internal Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Specialist
19310 S HALSTED ST
GLENWOOD, IL 60425
Podiatrist (Foot & Ankle Surgery)
19310 S HALSTED ST
GLENWOOD, IL 60425
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425

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 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.

Where is Mohammed Adnan Khaleeluddin located?

Mohammed Adnan Khaleeluddin practices at 19310 S Halsted St, Glenwood, IL 60425. The listed phone number is (708) 300-3132.

What is Mohammed Adnan Khaleeluddin's specialty?

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

Is Mohammed Adnan Khaleeluddin enrolled in Medicare?

Yes. Mohammed Adnan Khaleeluddin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammed Adnan Khaleeluddin was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.