YAQOOB KHAN MD
NPI 1922798313
Internal Medicine in Poplar Bluff, MO

Q: What is Yaqoob Khan's NPI number?

The NPI number for Yaqoob Khan is 1922798313. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Q: What is Yaqoob Khan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yaqoob Khan was last updated on May 26, 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.

Active since May 10, 2023PECOS EnrolledAccepts Medicare Assignment

3100 OAK GROVE RD, POPLAR BLUFF, MO 63901(573) 776-9752(573) 776-9027 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2023, May 10, 2023 (2 updates tracked since 2023).

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About Yaqoob Khan Md NPPES

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

YAQOOB KHAN MD (NPI 1922798313) is an individual internal medicine provider in Poplar Bluff, Missouri, licensed in Missouri (2023019467) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1922798313

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameYAQOOB KHANCredential: MD

Location Address3100 OAK GROVE RDPoplar Bluff, MO 63901-1573

Mailing Address3100 Oak Grove RdPoplar Bluff, MO 63901-1573 · (573) 776-9752 · Fax (573) 776-9027

Phone(573) 776-9752

Fax(573) 776-9027

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMay 10, 2023

Last NPPES UpdateMay 26, 20232 updates tracked since enumeration

NPPES CertifiedMay 26, 2023

✔ NPI 1922798313 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 MO · 2023019467

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3100 OAK GROVE RD, Poplar Bluff, MO 63901

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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

Yaqoob Khan 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 ID446719942

PECOS Enrollment IDI20260825004286

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 Yaqoob Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Missouri Hospital Physicians, LLC

61 mi

Family Medicine

1701 LACEY ST
Cape Girardeau, MO 63701

Reassigned Medicare billing, Missouri enrollment
470 clinicians in this Medicare group

NPI 1558311522 (573) 331-6880

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

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

JOSHUA RYAN MORSE

Nurse Anesthetist, Certified Registered