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NAEEM A KHAN MD SC
NPI 1790810216
Internal Medicine - Cardiovascular Disease in Centralia, IL

Active since February 23, 2007
1050 M L KING DR, SUITE 108, CENTRALIA, IL 62801(618) 532-3517(618) 532-0801 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Naeem A Khan Md Sc NPPES

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

NAEEM A KHAN MD SC (NPI 1790810216) is a healthcare organization registered as a cardiovascular disease in Centralia, Illinois and active in the NPI registry since February 2007. The organization lists Naeem Anwar Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1790810216
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameNAEEM A KHAN MD SC
Location Address1050 M L KING DR, SUITE 108Centralia, IL 62801-3060
Mailing Address1050 M L King Dr, Suite 108Centralia, IL 62801-3060 · (618) 532-3517 · Fax (618) 532-0801
Phone(618) 532-3517
Fax(618) 532-0801
Organization SubpartNo
Authorized OfficialNaeem Anwar KhanOwner · (618) 532-3517
Enumeration DateFebruary 23, 2007
Last NPPES UpdateMay 24, 2012
✔ NPI 1790810216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036064097
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1050 M L KING DR, Centralia, IL 62801
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified212177IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naeem A Khan Md Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Naeem A Khan MD Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Naeem Khan, MD
Cardiovascular Disease (Cardiology)
NPI 1942229810
1050 MARTIN LUTHER KING DRIVE STE #108
Centralia, IL 62801
(618) 532-8574
✔ PECOS✔ Accepts Medicare0.9 mi

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

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 Naeem A Khan MD Sc's NPI number?

The NPI number for Naeem A Khan MD Sc is 1790810216. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Naeem A Khan MD Sc located?

Naeem A Khan MD Sc is located at 1050 M L King Dr Suite 108, Centralia, IL 62801. The listed phone number is (618) 532-3517.

What is Naeem A Khan MD Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Naeem A Khan MD Sc enrolled in Medicare?

Yes. Naeem A Khan MD Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Naeem A Khan MD Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Naeem A Khan MD Sc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Naeem A Khan MD Sc was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.