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

Active since May 10, 2023PECOS Enrolled
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: October 11, 2026.

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

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.

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
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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yaqoob Khan Md 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.

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
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
HANUMANTH K REDDY M.D
Internal Medicine (Interventional Cardiology)
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2600
DR. ALEXANDROS GEORGOLIOS MD
Otolaryngology
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 778-2600
POPLAR BLUFF REGIONAL MEDICAL CENTER
Clinical Medical Laboratory
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 686-5311
MATTHEW GENE PULLEY NP
Nurse Practitioner
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
DANIELLE NICHOLE FARMER OTR/L
Occupational Therapist
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
SILVIA PAGOADA VALLECILLO M.D.
Family Medicine
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
DEREK WAYNE GRUBBS DO
Student in an Organized Health Care Education/Training Program
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-9752

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 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.

Where is Yaqoob Khan located?

Yaqoob Khan practices at 3100 Oak Grove Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 776-9752.

What is Yaqoob Khan's specialty?

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

Is Yaqoob Khan enrolled in Medicare?

Yes. Yaqoob Khan is registered in the Medicare PECOS enrollment system.

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.