Active NPI
Muhammad Fahad Khan, MD
- Interventional Cardiology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036148957
- Practice address
- 800 N 1St St
Springfield, IL 62702-3719 - Phone
- (217) 528-7541
- NPI assigned
- Sep 18, 2008
- Last updated
- Nov 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 77024 | WI | |
| Interventional Cardiology Physician | 207RI0011X | 036148957 | IL | Primary |
Addresses
Primary practice location
800 N 1St St
Springfield, IL 62702-3719
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Other practice location 1
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLPPana Community Hospital AssociationHillsboro Area Hospital, Inc.
Practice addresses (Care Compare)
100 Stahlhut Dr
Lincoln, IL 62656-5059
Phone (217) 735-9555
1000 W Morton Ave
Jacksonville, IL 62650-3152
Phone (217) 243-6520
101 E 9TH St
Pana, IL 62557-1716
Phone (217) 562-6246
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
1200 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-4126
1204 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6266
1250 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-6911
1280 E Tremont St
Hillsboro, IL 62049-1912
Phone (217) 532-2320
1302 Franklin Ave
Suite 4500
Normal, IL 61761-3593
Phone (309) 556-8293
15 Founders LN
Jacksonville, IL 62650-3919
Phone (217) 291-1041
1600 W Walnut St
Jacksonville, IL 62650-1136
Phone (217) 245-9541
200 Stahlhut Dr 1St Floor Room
Lincoln, IL 62656-5066
Phone (217) 605-5309
20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 528-7541
2200 Wabash Ave
Springfield, IL 62704-5352
Phone (217) 787-0727
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
250 W Kenwood Ave
Decatur, IL 62526-4371
Phone (217) 528-7541
350 W Carpenter St
Springfield, IL 62702-4902
Phone (217) 525-0210
400 Saint Johns Dr
Sherman, IL 62684-9779
Phone (217) 525-4150
600 N Main St
Taylorville, IL 62568-1668
Phone (217) 824-8191
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
747 N Rutlage Baylis Medical BLD
Springfield, IL 62702-6700
Phone (217) 545-7722
747 N Rutledge St
Springfield, IL 62702-6700
Phone (217) 757-2257
775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
800 N 1St St
Springfield, IL 62702-3719
Phone (217) 528-7541
Hospital & facility affiliations
- Memorial Medical Center
- Hillsboro Area Hospital
- Jacksonville Memorial Hospital
- Carlinville Area Hospital
- St Johns Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 64 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77024 | WI | MD | Cardiovascular Disease Physician |
| 036148957 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carle Health Medical Group | Family Medicine | Current | Accepting new patients |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Carle West Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Pana Community Hospital Association | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Hospitalists of Arizona, Inc | Past | Accepting new patients | |
| Pana Community Hospital Association | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
20613 N Broad St
Ste B
Carlinville, IL 62626
Phone (217) 854-3881
20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
1204 E Tremont St
Hillsboro, IL 62049
Phone (217) 324-8730
1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911
15 Founders Ln
Jacksonville, IL 62650
Phone (217) 243-0300
101 E 9th St
Pana, IL 62557
Phone (217) 562-2131
1025 S 6th St
Springfield, IL 62703
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
800 N 1st St
Springfield, IL 62702
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/carlin-6115abf3
- mkhan357615@carlehiedirect.net
- muhammad.khan.1@28977.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 5
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2021 |
| Springfield Clinic Nokomis Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2021 |
| Springfield Clinic Raymond Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2021 |
| Springfield Clinic Neoga Rural Health | Rural health clinic | Limited Partnership Interest | Oct 1, 2021 |
| Springfield Clinic, LLP | Rural health clinic | Limited Partnership Interest | Oct 1, 2021 |
Owned or controlled facilities with NPI records 5
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Raymond, IL
- NPI 1013255942
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Macomb, IL
- NPI 1730831157
Limited Partnership Interest
-
dba Springfield Clinic Rural Health Neoga
- Rural Health Clinic/Center
- Neoga, IL
- NPI 1972790889
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Lincoln, IL
- NPI 1518143452
Limited Partnership Interest
-
- Rural Health Clinic/Center
- Nokomis, IL
- NPI 1922285600
Limited Partnership Interest
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Family Medicine
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1932275641
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Virden Family Health Care
- Rural Health Clinic/Center
- Virden, IL
- NPI 1447691571
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
-
dba Ramsey Medical Group
- Rural Health Clinic/Center
- Ramsey, IL
- NPI 1598597726
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Carlinville Area Hospital
- Critical Access Hospital
- Carlinville, IL
- NPI 1053425124
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
dba Hillsboro Area Hospital Primary Care Clinic
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
Hospital
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
dba Passavant Area Hospital
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1114176708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023719",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "855 N Westhaven Dr",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047668",
"country_code": "US",
"telephone_number": "920-303-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "MUHAMMAD",
"middle_name": "FAHAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "77024",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036148957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.