Active NPI
Afshin A Khaiser, M.D.
- Gastroenterology Physician
- Galesburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036136010
- Practice address
- 3315 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-1000
- Fax
- (309) 344-2405
- NPI assigned
- Mar 24, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036136010 | IL | Primary |
Addresses
Primary practice location
3315 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Medical College of Wisconsin, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (239) 348-4236
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 118 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036136010 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key West Hma Physician Management LLC | Current | Accepting new patients | |
| Key West Hma Physician Management, LLC | Internal Medicine | Current | Accepting new patients |
| Collier Hma Physician Management LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Advanced Telemedicine Associates LLC | Internal Medicine | Current | Accepting new patients |
| Collier Hma Physician Management LLC | Internal Medicine | Current | Accepting new patients |
| Proctor Health Systems | Internal Medicine | Past | Accepting new patients |
Locations
1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830
8831 Founders Square Dr
Naples, FL 34120
Phone (239) 920-4503
8340 Collier Blvd
Ste 405
Naples, FL 34114
Phone (239) 348-4579
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
6376 Pine Ridge Rd
Unit 300
Naples, FL 34119
Phone (239) 348-4128
2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122
809 E Marion Ave
Punta Gorda, FL 33950
Phone (941) 625-1951
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
600 S 13th St
#D
Pekin, IL 61554
Phone (309) 353-7500
900 Main St
Ste 530
Peoria, IL 61602
Phone (309) 642-6705
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- afshin.khaiser.1@4692.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Naples, FL
- NPI 1245282979
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Internal Medicine Physician
- Cudjoe Key, FL
- NPI 1871548651
-
- Family Medicine Physician
- Pekin, IL
- NPI 1932150299
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1376130963
-
- Optometrist
- Naples, FL
- NPI 1962713248
-
- Orthopaedic Surgery Physician
- Key West, FL
- NPI 1346548229
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1255630646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-344-1000",
"fax_number": "309-344-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 N SEMINARY ST",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614011251",
"telephone_number": "309-344-1000",
"fax_number": "309-344-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAISER",
"first_name": "AFSHIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-24",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036136010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galesburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.