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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

Active since August 21, 2020PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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

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 Deaconess Hospital Inc, 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
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mohannad Al-khateeb reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Hospital, Inc
Same address
Pulmonary Disease
519 HARRIET ST
Evansville, IN 47710
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • Also billed through NPI 1629162573 (Kentucky)
  • 717 clinicians in this Medicare group
NPI 1972798312 (812) 450-7720
Rwjbh Emergency Medicine Associates, LLC
721 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Rwjbh Observation Associates LLC
735 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

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)
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720
DEACONESS CLINIC, INC
Internal Medicine
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 423-9699
SARAH FREEMAN NP
Nurse Practitioner
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720
SARA J HAHN NP
Nurse Practitioner (Acute Care)
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720
DR. DAN VARDI MD
Internal Medicine (Pulmonary Disease)
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720
KELLY MARGARET KIRK NP
Nurse Practitioner (Acute Care)
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720
AHMED JAWAD MD
Internal Medicine (Pulmonary Disease)
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720
ARTHUR BENTSEN M.D.
Internal Medicine (Pulmonary Disease)
519 HARRIET ST
EVANSVILLE, IN 47710
Vanderburgh County (812) 450-7720

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 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.

Where is Mohannad Al-khateeb located?

Mohannad Al-khateeb practices at 519 Harriet St, Evansville, IN 47710. The listed phone number is (812) 450-7720.

What is Mohannad Al-khateeb's specialty?

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

Is Mohannad Al-khateeb enrolled in Medicare?

Yes. Mohannad Al-khateeb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mohannad Al-khateeb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohannad Al-khateeb reassigns Medicare benefits to 3 organizations: Deaconess Hospital, Inc (Evansville, IN), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). Each 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 Mohannad Al-khateeb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohannad Al-khateeb accept?

Health plans from CareSource list Mohannad Al-khateeb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mohannad Al-khateeb affiliated with any hospitals?

According to CMS data, Mohannad Al-khateeb is affiliated with Deaconess Hospital Inc and Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Mohannad Al-khateeb was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.