Active NPI
Midwest Internal Medicine SC
- Internal Medicine Physician
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MIDWEST INTERNAL MEDICINE SC
- Practice address
- 2975 N Water St
Decatur, IL 62526-4235 - Phone
- (217) 875-3810
- Fax
- (217) 875-5015
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Muhammad N Khan, MD
- Title
- Physician Owner
- Phone
- (217) 875-3810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2975 N Water St
Decatur, IL 62526-4235
Mailing address
2975 N Water St
Decatur, IL 62526-4235
Phone (217) 875-3810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0325 | Other | IL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
441 W Hay St
Ste 3
Decatur, IL 62526
Phone (217) 875-3810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Decatur, IL
- NPI 1598767493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442448000000",
"number": "1194777268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 N WATER ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264235",
"telephone_number": "217-875-3810",
"fax_number": "217-875-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 N WATER ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264235",
"telephone_number": "217-875-3810",
"fax_number": "217-875-5015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST INTERNAL MEDICINE SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2015-09-17",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "MUHAMMAD",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "217-875-3810",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DN0325",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.