Individual provider Active NPI

Khalid Javed, M.D.

  • Internal Medicine Physician
  • Johnston City, IL
National Provider Identifier
1174529663
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036049529 Issued in IL
Practice address
14410 Route 37
Johnston City, IL 62951-3166
Phone
(618) 983-6911
Fax
(618) 983-6913
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036049529 IL Primary

Addresses

Primary practice location

14410 Route 37
Johnston City, IL 62951-3166

Mailing address

PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401

Other identifiers 1

IdentifierTypeStateIssuer
036049529MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000473 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 5092708255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14410 Route 37
Johnston City, IL 62951-3166
Phone (618) 983-6911

Hospital & facility affiliations

  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • Herrin Hospital Hospital, Herrin, IL, CCN 140011
  • Memorial Hospital of Carbondale Hospital, Carbondale, IL, CCN 140164
  • Integrity HC of Marion Nursing home, Marion, IL, CCN 145863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036049529ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Jan 1, 2008 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Internal Medicine Current Accepting new patients
Christopher Greater Area Rural Health Planning Corporation CurrentSince Jan 1, 2008 Accepting new patients
Johnston City Medical Clinic, S. C. PastSince Jun 7, 1995 Accepting new patients
Christopher Greater Area Rural Health Planning Corporation Internal Medicine Past Accepting new patients

Locations

4241 State Highway 14
Christopher, IL 62822
Phone (618) 724-2136

4241 Highway 14 W
Christopher, IL 62822
Phone (618) 724-1684

1564 S Washington St
Du Quoin, IL 62832
Phone (618) 542-8702

3303 Logan Dr
Herrin, IL 62948
Phone (618) 833-4471

14410 Route 37
Johnston City, IL 62951
Phone (618) 937-6409

2920 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 244-6544

6294 State Highway 154
Sesser, IL 62884
Phone (618) 625-6679

Interoperability endpoints

  • Direct secure messaging: khalid.javed@crhpc.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1174529663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628220155",
            "telephone_number": "618-724-2401",
            "fax_number": "618-724-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 ROUTE 37",
            "city": "JOHNSTON CITY",
            "state": "IL",
            "postal_code": "629513166",
            "telephone_number": "618-983-6911",
            "fax_number": "618-983-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVED",
        "first_name": "KHALID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036049529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049529",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston City, IL

Sources for this page

Verify at the official NPI Registry.