Individual provider Active NPI

Mohsen R Khan, DO

  • Gastroenterology Physician
  • Munster, IN
National Provider Identifier
1316203367
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02005502A Issued in IN
Practice address
9410 Calumet Ave Ste 401
Munster, IN 46321-0018
Phone
(219) 922-4900
Fax
(219) 836-9922
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02005502A IN
Gastroenterology Physician 207RG0100X 02005502A IN Primary

Addresses

Primary practice location

9410 Calumet Ave Ste 401
Munster, IN 46321-0018

Mailing address

9410 Calumet Ave Ste 401
Munster, IN 46321-0018
Phone (219) 922-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdh-nwi@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190110000164 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 0345545893 Reassigns benefits to 2 organizations
I20251208002117 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 0345545893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians
Dalal Medical CorporationGroup PAC ID 8527128503, 9 clinicians

Practice addresses (Care Compare)

500 S Weber Rd
Romeoville, IL 60446-6528
Phone (815) 773-7732

9410 Calumet Ave
Munster, IN 46321-0018
Phone (219) 922-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
84.45
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux254

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Internal Medicine Current Accepting new patients
Dalal Medical Corporation Gastroenterology CurrentSince Nov 7, 2018 Accepting new patients
Prime Healthcare Illinois Medical Group LLC Internal Medicine CurrentSince Dec 1, 2025 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Sep 1, 2020 Accepting new patients
The Methodist Hospitals, Inc Gastroenterology CurrentSince Sep 1, 2020 Accepting new patients

Locations

1801 W Olympic Blvd
#2636
Pasadena, CA 91199

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

1315 N Highland Ave
Ste 200
Aurora, IL 60506
Phone (630) 844-6600

100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780

27350 Network Pl
Chicago, IL 60673

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350

500 S Weber Rd
Romeoville, IL 60446
Phone (630) 856-8620

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

9410 Calumet Ave
Ste 401
Munster, IN 46321
Phone (219) 922-4900

Interoperability endpoints

  • Direct secure messaging: mkhan405122@direct.franciscanalliance.org
  • Direct secure messaging: cdh-nwi@directaddress.net

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 5

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1316203367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 401",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-4900",
            "fax_number": "219-836-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHSEN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "02005502A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "02005502A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdh-nwi@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "gGastro",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9410 Calumet Ave Ste 401",
            "city": "Munster",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463210018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.