DR. FARAH MEHDI KHATOON DO
NPI 1639356108
Pediatrics - Pediatric Endocrinology in South Bend, IN

Active since January 28, 2008PECOS Enrolled
100 NAVARRE PL STE 5570, SOUTH BEND, IN 46601(574) 647-2550 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 26, 2021, Oct 1, 2019 (2 updates tracked since 2019).

About Dr. Farah Mehdi Khatoon Do NPPES

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

DR. FARAH MEHDI KHATOON DO (NPI 1639356108) is an individual pediatric endocrinology provider in South Bend, Indiana, licensed in Indiana (02006332A) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639356108
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameDR. FARAH MEHDI KHATOONCredential: DO
Location Address100 NAVARRE PL STE 5570South Bend, IN 46601-1169
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Sole ProprietorNo
Enumeration DateJanuary 28, 2008
Last NPPES UpdateApril 28, 20232 updates tracked since enumeration
NPPES CertifiedApril 28, 2023
✔ NPI 1639356108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
Licenses✔ Licensed in IN · 02006332A✔ Licensed in TX · S2367✔ Licensed in IL · 036126725✔ Licensed in GA · 56304
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
100 NAVARRE PL STE 5570, South Bend, IN 46601

Other Identifiers 3

Other56304GA · Georgia Licence
OtherS2367TX · Texas Medical Board
Medicaid300049227IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Farah Mehdi Khatoon Do 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 Farah Khatoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group

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 46601 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 3

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

Nurse Practitioner (Family)
100 NAVARRE PL STE 5570
SOUTH BEND, IN 46601
Internal Medicine (Rheumatology)
100 NAVARRE PL STE 5570
SOUTH BEND, IN 46601
Pediatrics (Neonatal-Perinatal Medicine)
100 NAVARRE PL STE 5570
SOUTH BEND, IN 46601

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 Farah Khatoon's NPI number?

The NPI number for Farah Khatoon is 1639356108. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Farah Khatoon located?

Farah Khatoon practices at 100 Navarre Pl Ste 5570, South Bend, IN 46601. The listed phone number is (574) 647-2550.

What is Farah Khatoon's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Farah Khatoon enrolled in Medicare?

Yes. Farah Khatoon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Farah Khatoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Farah Khatoon reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). The 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 Farah Khatoon'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 Farah Khatoon was last updated on April 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.