Active NPI
Muhammad Waqar Khattak, M.D.
- Nephrology Physician
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036-139349
- Practice address
- 420 NE Glen Oak Ave Ste 401
Peoria, IL 61603 - Phone
- (309) 676-8123
- Fax
- (309) 676-8455
- NPI assigned
- May 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036-139349 | IL | Primary |
Addresses
Primary practice location
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603
Mailing address
420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123
Other practice location 1
1051 W South St
Kewanee, IL 61443-8354
Phone (309) 676-8123
Other practice location 2
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-6247
Other practice location 3
834 N Seminary St Ste 501
Galesburg, IL 61401
Phone (309) 676-8123
Other practice location 4
525 Grant St 2nd floor
Macomb, IL 61455
Phone (309) 676-8123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036139349 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
420 NE Glen Oak Ave
Suite 401
Peoria, IL 61603-3112
Phone (217) 238-6247
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-139349 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renalcare Associates, S.C. | Nephrology | Current | Accepting new patients |
| Mendota Community Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Mendota Community Hospital | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Lexica Inpatient Services | Past | Accepting new patients | |
| Renal Intervention Center, PLLC | Nephrology | Past | Accepting new patients |
Locations
180 S Main St
Ste 2I
Canton, IL 61520
834 N Seminary St
Ste 501
Galesburg, IL 61401
Phone (309) 343-3303
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
505 E Grant St
Ste 201
Macomb, IL 61455
Phone (309) 833-3068
525 E Grant St
Fl 2
Macomb, IL 61455
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1404 Washington St
Mendota, IL 61342
Phone (815) 538-1825
1401 E 12th St
Mendota, IL 61342
Phone (815) 539-7461
1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785
124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850
420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Interoperability endpoints
- mkhattak7732@direct.acumenmd.com
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.
-
- Nephrology Physician
- Peoria, IL
- NPI 1649300377
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Family Medicine Physician
- Mendota, IL
- NPI 1407872997
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Rural Health Clinic/Center
- Granville, IL
- NPI 1225877590
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Ambulatory Surgical Clinic/Center
- Morton, IL
- NPI 1639242506
Nephrology
-
- Internal Medicine Physician
- Gardner, MA
- NPI 1790985828
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1669648309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033112",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NE GLEN OAK AVE STE 401",
"city": "PEORIA",
"state": "IL",
"postal_code": "61603",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455"
}
],
"practiceLocations": [
{
"address_1": "1051 W South St",
"address_purpose": "LOCATION",
"city": "Kewanee",
"state": "IL",
"postal_code": "614438354",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-238-6247",
"fax_number": "217-258-4175",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "834 N Seminary St Ste 501",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "61401",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 Grant St 2nd floor",
"address_purpose": "LOCATION",
"city": "Macomb",
"state": "IL",
"postal_code": "61455",
"country_code": "US",
"telephone_number": "309-676-8123",
"fax_number": "309-676-8455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHATTAK",
"first_name": "MUHAMMAD",
"middle_name": "WAQAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036-139349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036139349",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.