Individual provider Active NPI

Mohammad Naeemullah Khan, M.D.

  • Gastroenterology Physician
  • Oxnard, CA
National Provider Identifier
1295778215
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C-183205 Issued in CA
Practice address
2241 Wankel Way Ste a
Oxnard, CA 93030-0191
Phone
(805) 983-0521
Fax
(805) 983-4186
NPI assigned
Jun 14, 2006
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD2022-1353 NM
Gastroenterology Physician 207RG0100X 036.151604 IL
Gastroenterology Physician 207RG0100X 29905 WV
Gastroenterology Physician 207RG0100X C-183205 CA Primary
Gastroenterology Physician 207RG0100X C0072 KY
Gastroenterology Physician 207RG0100X 30038 AZ
Gastroenterology Physician 207RG0100X 1020342 MA

Addresses

Primary practice location

2241 Wankel Way Ste a
Oxnard, CA 93030-0191

Mailing address

525 N 18TH St Ste 601
Phoenix, AZ 85006-4101
Phone (602) 307-9112

Other practice location 1

225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Phone (270) 443-0777

Other practice location 2

630 W Maple St
Farmington, NM 87401-6113
Phone (505) 609-6349

Other identifiers 2

IdentifierTypeStateIssuer
639130MedicaidAZ
110217659AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KY, NM, CA, MA, AL, IL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050411001072 AZ Practitioner - GastroenterologyPractitioner - Internal Medicine 3476538760 Reassigns benefits to 2 organizations
I20210318002420 KY Practitioner - Gastroenterology 3476538760 Reassigns benefits to 2 organizations
I20221129002554 NM Practitioner - Gastroenterology 3476538760 Reassigns benefits to 2 organizations
I20230925001562 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 3476538760 Reassigns benefits to 3 organizations
I20240827000810 MA Practitioner - Gastroenterology 3476538760 Reassigns benefits to 1 organization
I20250205000357 AL Practitioner - Gastroenterology 3476538760 Reassigns benefits to 2 organizations
I20260226000701 IL Practitioner - Gastroenterology 3476538760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians
Mercy Health Physicians Kentucky Specialty Care LLCGroup PAC ID 1456777069, 144 clinicians
Vincentian Physician Services LLCGroup PAC ID 1557548161, 81 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

225 Medical Ctr Dr
Suite 308
Paducah, KY 42003-7915
Phone (270) 443-0777

3329 W Deyoung St
Marion, IL 62959-5884
Phone (618) 998-7177

630 W Maple St
SJHP Gastroenterology
Farmington, NM 87401-6113
Phone (505) 609-6349

680 Guzzi LN
Suite 206
Sonora, CA 95370-5288
Phone (209) 536-5760

810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 393-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy123
Upper gastrointestinal (GI) endoscopy for acid reflux157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-183205CAMDGastroenterology Physician
036.151604ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Internal Medicine CurrentSince Oct 23, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Apr 4, 2021 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2018 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Dec 1, 2022 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Feb 1, 2026 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince May 31, 2018 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Imc-Diagnostic and Medical Clinic LLC Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
T J Samson Community Hospital CurrentSince Apr 3, 2023 Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 13, 2024 Accepting new patients
Imc-Diagnostic and Medical Clinic LLC CurrentSince Feb 1, 2025 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Dec 1, 2022 Accepting new patients
San Juan Regional Medical Center Inc Gastroenterology CurrentSince Oct 9, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Apr 4, 2021 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Oct 23, 2023 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Current Accepting new patients
Sonora Community Hospital CurrentSince Oct 23, 2023 Accepting new patients
Vincentian Physician Services LLC Internal Medicine CurrentSince Dec 17, 2025 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Cambridge Public Health Commission CurrentSince Aug 13, 2024 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Advanced Care Gastro LLC Gastroenterology Past Accepting new patients
Prisma Community Care PastSince May 21, 2014 Accepting new patients
Mercy Health Physicians Kentucky LLC Gastroenterology Past Accepting new patients

Locations (25 of 30)

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1700 Spring Hill Ave
Ste 100
Mobile, AL 36604

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

File 56765
Los Angeles, CA 90074

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126

680 Guzzi Ln
Ste 206
Sonora, CA 95370
Phone (209) 536-5760

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3329 W Deyoung St
Marion, IL 62959
Phone (618) 985-8007

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

225 Medical Center Dr
Ste 308
Paducah, KY 42003
Phone (270) 441-4750

1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

28 Newton St
Southborough, MA 01772
Phone (508) 334-3068

21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA
  • Direct secure messaging: mkhan121751@direct.challiance.masshiway.net
  • Direct secure messaging: mkhan845210@direct.bsmhealth.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1295778215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N 18TH ST STE 601",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850064101",
            "telephone_number": "602-307-9112",
            "fax_number": "602-307-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300191",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr Ste 308",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037915",
            "country_code": "US",
            "telephone_number": "270-443-0777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874016113",
            "country_code": "US",
            "telephone_number": "505-609-6349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "NAEEMULLAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "MD2022-1353",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036.151604",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "29905",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C-183205",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "C0072",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "30038",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "1020342",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "639130",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110217659A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.