Active NPI
Shoeb Hameed Khan, MD
- Neurology Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036170378
- Practice address
- 611 W Park St
Urbana, IL 61801-2501 - Phone
- (217) 383-3440
- NPI assigned
- Apr 4, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 110587 | GA | |
| Neurology Physician | 2084N0400X | 036170378 | IL | Primary |
| Psychiatry Physician | 2084P0800X | 036170378 | IL | |
| Neurology Physician | 2084N0400X | 54054 | AL |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2501
Mailing address
611 W Park St
Urbana, IL 61801-2501
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Other practice location 2
2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 251-1400
Other practice location 3
3471 Fifth Avenue
Kaufmann Medical Bldg-Suite 810
Pittsburgh, PA 15213
Phone (419) 251-8019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, OH, TN, TX, WV, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Pittsburgh School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Foundation Hospital
- St Anthonys Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54054 | AL | MD | Neurology Physician |
| 110587 | GA | MD | Neurology Physician |
| 036170378 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Healthproviders Two LLC | Neurology | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Mount Carmel Healthproviders Two LLC | Current | Accepting new patients | |
| Access Telecare, PLLC | Neurology | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients |
Locations
815 Main St
Ste A1
Peoria, IL 61602
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400
495 Cooper Rd
Ste 212
Westerville, OH 43081
Phone (614) 627-1400
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
Interoperability endpoints
- skhanmd416728@carlehiedirect.net
Organizations & group practices 9
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
- Urbana, IL
- NPI 1154653947
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Cardiovascular Disease Physician
- Columbus, OH
- NPI 1134154750
Neurology
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1922397553
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Surgery Physician
- Columbus, OH
- NPI 1528203981
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1558823872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501",
"telephone_number": "217-383-3440"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467694",
"country_code": "US",
"telephone_number": "678-312-1000",
"fax_number": "678-312-3282",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436047101",
"country_code": "US",
"telephone_number": "419-251-1400",
"fax_number": "419-251-4159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3471 Fifth Avenue",
"address_2": "Kaufmann Medical Bldg-Suite 810",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15213",
"country_code": "US",
"telephone_number": "419-251-8019",
"fax_number": "419-251-5819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SHOEB",
"middle_name": "HAMEED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-04",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "110587",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036170378",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036170378",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "54054",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.