Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOHANNAD HUSSAM AL-KHATEEB MD
NPI 1720690555
Internal Medicine in Evansville, IN

Q: What is Mohannad Al-khateeb's NPI number?

The NPI number for Mohannad Al-khateeb is 1720690555. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Q: What is Mohannad Al-khateeb's specialty?

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

Active since August 21, 2020PECOS Enrolled

519 HARRIET ST, EVANSVILLE, IN 47710(812) 450-7720(812) 450-7730 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 14, 2026, May 28, 2026, Aug 21, 2020 (3 updates tracked since 2020).

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About Mohannad Hussam Al-khateeb Md NPPES

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

MOHANNAD HUSSAM AL-KHATEEB MD (NPI 1720690555) is an individual internal medicine provider in Evansville, Indiana, licensed in New Jersey (25MA12603400) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720690555

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMOHANNAD HUSSAM AL-KHATEEBCredential: MD

Location Address519 HARRIET STEvansville, IN 47710-1715

Mailing AddressPo Box 632281Cincinnati, OH 45263-2281 · (812) 450-6815

Phone(812) 450-7720

Fax(812) 450-7730

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 21, 2020

Last NPPES UpdateSeptember 14, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2026

✔ NPI 1720690555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA12603400

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.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 01099388A (IN), 61915 (KY), 25MA12603400 (NJ)

519 HARRIET ST, Evansville, IN 47710

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Secondary Practice Locations 2

Location 11413 N Elm StHenderson, KY 42420-2768 · Phone (270) 561-0202

Location 24015 Gateway Blvd Ste 2121Newburgh, IN 47630-8925 · Phone (812) 450-7720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohannad Hussam Al-khateeb Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517439086

PECOS Enrollment IDI20260616001546, I20260616004547

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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 20

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

DR. JESSICA L JEFFRIES M.D.

Internal Medicine (Pulmonary Disease)