NPIMap

Individual provider Active NPI

Saadullah Khan, MD

  • Gastroenterology Physician
  • Williamsport, PA
National Provider Identifier
1700836517
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD426451 Issued in PA
Practice address
700 High St
Williamsport, PA 17701-3198
Phone
(570) 321-3454
Fax
(570) 321-3455
NPI assigned
May 11, 2006
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2008036685 MO
Gastroenterology Physician 207RG0100X D24011 MD
Gastroenterology Physician 207RG0100X 01092949A IN
Gastroenterology Physician 207RG0100X MD426451 PA Primary

Addresses

Primary practice location

700 High St
Williamsport, PA 17701-3198

Mailing address

1201 Grampian Blvd
Suite 1K
Williamsport, PA 17701-1900

Other practice location 1

11110 Medical Campus Rd Ste 246
Hagerstown, MD 21742-6756
Phone (301) 665-4585

Other practice location 2

11104 Parkview Circle Dr Ste 310
Fort Wayne, IN 46845-1733
Phone (260) 266-5230

Other identifiers 1

IdentifierTypeStateIssuer
KH7434841OtherPABS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, PA, IL, WV4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240419002615 IN Practitioner - Gastroenterology 0648216341 Reassigns benefits to 1 organization
I20250722000900 PA Practitioner - Gastroenterology 0648216341 Reassigns benefits to 1 organization
I20250910002589 IL Practitioner - Gastroenterology 0648216341 Reassigns benefits to 1 organization
I20251218003202 WV Practitioner - Gastroenterology 0648216341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 641-5803

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

705 Garfield Ave
Suite 360
Parkersburg, WV 26101-5444
Phone (304) 424-4120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Upper gastrointestinal (GI) endoscopy for acid reflux44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D24011MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Prairie, Inc CurrentSince Aug 28, 2025 Accepting new patients
Pinnacle Health Medical Services Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Parkview Health System,Inc. Gastroenterology CurrentSince Apr 15, 2024 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Nov 1, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince Aug 28, 2025 Accepting new patients
Parkview Health System Inc Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2025 Accepting new patients
HSHS Prairie, Inc Current Accepting new patients

Locations

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

3 Saint Elizabeth Blvd
Shiloh, IL 62269
Phone (618) 233-6044

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2035 Technology Pkwy
Ste 200
Mechanicsburg, PA 17050
Phone (717) 724-6780

705 Garfield Ave
Ste 360
Parkersburg, WV 26101
Phone (304) 424-2088

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

Interoperability endpoints

  • Direct secure messaging: skhan495352@ewd.direct.hshs.org
  • Direct secure messaging: skhan654577@direct.parkviewexchange.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1700836517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUITE 1K",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HIGH ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177013198",
            "telephone_number": "570-321-3454",
            "fax_number": "570-321-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11110 Medical Campus Rd Ste 246",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426756",
            "country_code": "US",
            "telephone_number": "301-665-4585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451733",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "260-266-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAADULLAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2008036685",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D24011",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01092949A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD426451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "KH7434841",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

Sources for this page

Verify at the official NPI Registry.