Individual provider Active NPI

Thamir Riad Khader, M.D

  • Psychiatry Physician
  • St Charles, IL
National Provider Identifier
1700428000
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036.175714 Issued in IL
Practice address
2325 Dean St Ste 500E
Saint Charles, IL 60175-4810
Phone
(708) 719-6345
NPI assigned
Oct 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 88058-20 WI
Psychiatry Physician 2084P0800X 036.175714 IL Primary

Addresses

Primary practice location

2325 Dean St Ste 500E
Saint Charles, IL 60175-4810

Mailing address

2325 Dean St Ste 500E
Saint Charles, IL 60175-4833
Phone (708) 719-6345

Other practice location 1

1706 S 68th St
West Allis, WI 53214-4949
Phone (414) 667-4800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929000726 IL Practitioner - PsychiatryPractitioner - Emergency Medicine 1052642469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400

100 E Lefevre Rd
Sterling, IL 61081-1278

1809 Locust St
Sterling, IL 61081-1101
Phone (815) 622-1210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.175714ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Aug 4, 2025 Accepting new patients
CGH Medical Center CurrentSince Aug 4, 2025 Accepting new patients
Cater Psychiatry PLLC Psychiatry CurrentSince Jan 1, 2026 Accepting new patients

Locations

5343 Belleville Crossing St
Belleville, IL 62226
Phone (314) 578-3551

2325 Dean St
Ste 500E
Saint Charles, IL 60175

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: tkhader30417@cghmc.direct-ci.com

Organizations & group practices 3

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 1

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": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1700428000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST STE 500E",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754833",
            "telephone_number": "708-719-6345",
            "fax_number": "856-329-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 DEAN ST STE 500E",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601754810",
            "telephone_number": "708-719-6345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 S 68th St",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532144949",
            "country_code": "US",
            "telephone_number": "414-667-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADER",
        "first_name": "THAMIR",
        "middle_name": "RIAD",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "88058-20",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036.175714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.