Active NPI
Noor Ahamed Khaiser, M.D.
- Gastroenterology Physician
- Galesburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036060635
- Practice address
- 3315 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-1000
- Fax
- (309) 344-2405
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036060635 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036060635 | IL |
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
Other practice location 1
1036 W Stephenson St
Freeport, IL 61032-4865
Phone (815) 599-6000
Other practice location 2
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL0110 | Other | IL | JOHN DEERE |
| 036060635 | Medicaid | IL | |
| 5159329 | Other | IL | AETNA HEALTH PLANS |
| 776530 | Other | IL | MEDICARE GROUP NUMBER |
| 100010089 | Other | IL | RAILROAD MEDICARE |
| 169319 | Other | IL | HEALTHLINK |
| 371221637 | Other | IL | FEDERAL TAX IDENTIFICATIO |
| 008990 | Other | IL | HEALTH ALLIANCE |
| 07215152 | Other | IL | BLUE CROSS |
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
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2708 Crystal Way
Naples, FL 34119-8676
Phone (815) 599-7715
3591 Griffin Ave
FL 3
Pekin, IL 61554-6258
Phone (309) 353-7500
600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 353-0825
600 S 13TH St J
Pekin, IL 61554-4936
Phone (309) 353-0607
815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.84 of 100
- Quality
- 75.22
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 73.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Internal Medicine | Current | Accepting new patients |
| Pekin Prohealth Inc | Internal Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
101 S Major St
Eureka, IL 61530
Phone (309) 268-2172
600 S 13th St
#J
Pekin, IL 61554
Phone (309) 353-0607
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
2355 Broadway St
Pekin, IL 61554
Phone (309) 347-1632
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
1001 Main St
Ste 500A
Peoria, IL 61606
Phone (309) 672-4980
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- nkhaisermd389539@carlehiedirect.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.
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1487696126",
"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": [
{
"address_1": "1036 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324865",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"fax_number": "815-599-7974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAISER",
"first_name": "NOOR",
"middle_name": "AHAMED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036060635",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036060635",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "IL0110",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036060635",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "5159329",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "776530",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "100010089",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "169319",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX IDENTIFICATIO",
"identifier": "371221637",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "008990",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "07215152",
"state": "IL"
}
],
"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 9, 2026; 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.