NPIMap

Muhammad Fahad Khan, MD

Individual provider Active NPI Interventional Cardiology Physician · Springfield, IL

NPI 1114176708 · NPPES record last updated Nov 29, 2022

Key facts

NPI
1114176708
Entity type
Individual (NPI type 1)
Primary specialty
Interventional Cardiology Physician 207RI0011X
License
036148957 (IL)
Practice address
800 N 1St St
Springfield, IL 62702-3719
Phone
(217) 528-7541
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 47

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 47

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Medicare Care Compare profile

Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Clinic, LLP (678 clinicians)
Pana Community Hospital Association (55 clinicians)
Hillsboro Area Hospital, Inc. (37 clinicians)
Carle West Physician Group Inc (282 clinicians)
Carle Health Care Incorporated (1,592 clinicians)

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 Hospital · Springfield, IL · CCN 140148
  • Hillsboro Area Hospital Hospital · Hillsboro, IL · CCN 141332
  • Jacksonville Memorial Hospital Hospital · Jacksonville, IL · CCN 141352
  • Carlinville Area Hospital Hospital · Carlinville, IL · CCN 141347
  • St Johns Hospital Hospital · Springfield, IL · CCN 140053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting64
Pacemaker insertion or repair1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Springfield Clinic Lincoln Rural Health
Lincoln, IL · CCN 143925		 Rural health clinic Limited Partnership Interest Oct 1, 2021
Springfield Clinic Nokomis Rural Health
Nokomis, IL · CCN 783814		 Rural health clinic Limited Partnership Interest Oct 1, 2021
Springfield Clinic Raymond Rural Health
Raymond, IL · CCN 783829		 Rural health clinic Limited Partnership Interest Oct 1, 2021
Springfield Clinic Neoga Rural Health
Neoga, IL · CCN 783812		 Rural health clinic Limited Partnership Interest Oct 1, 2021
Springfield Clinic, LLP
Macomb, IL · CCN 783855		 Rural health clinic Limited Partnership Interest Oct 1, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190516000772 IL Practitioner - Interventional Cardiology
Practitioner - Cardiovascular Disease (Cardiology)		 0547385262 Reassigns benefits to 10 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77024WIMDCardiovascular Disease Physician
036148957ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle West Physician Group Inc Family Medicine Current
since Nov 28, 2022		 Accepting new patients
Hillsboro Area Hospital, Inc. Current
since May 1, 2022		 Accepting new patients
Pana Community Hospital Association Current
since Apr 17, 2023		 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Hillsboro Area Hospital, Inc. Current
since May 1, 2022		 Accepting new patients
Carlinville Area Hospital Association Current
since May 25, 2022		 Accepting new patients
Springfield Clinic LLP Current
since Jul 10, 2019		 Accepting new patients
Carle Health Care Incorporated Family Medicine Current
since Dec 29, 2025		 Accepting new patients
Pana Community Hospital Association Current
since Apr 17, 2023		 Accepting new patients
Carlinville Area Hospital Association Current
since May 25, 2022		 Accepting new patients
Springfield Clinic, LLP Current
since Jul 10, 2019		 Accepting new patients
Pana Community Hospital Association Past Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients
Gibson 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

1250 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-6911

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

1204 E Tremont St
Hillsboro, IL 62049
Phone (217) 324-8730

15 Founders Ln
Jacksonville, IL 62650
Phone (217) 243-0300

101 E 9th St
Pana, IL 62557
Phone (217) 562-2131

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

800 N 1st St
Springfield, IL 62702

1025 S 6th St
Springfield, IL 62703

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Interoperability endpoints

  • Direct secure messaging: mkhan357615@carlehiedirect.net
  • Direct secure messaging: muhammad.khan.1@28977.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 77024 WI
Interventional Cardiology Physician 207RI0011X 036148957 IL Yes

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

Other providers in Springfield, IL

All providers in Springfield, IL · Interventional Cardiology Physician in Illinois

Sources for this page

Verify at the official NPI Registry.