Individual provider Active NPI

Adeel Iqbal Khan, M.D.

  • Pulmonary Disease Physician
  • Washington, MO
National Provider Identifier
1790993863
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2011001472 Issued in MO
Practice address
901 Patients First Dr
Pulmonary Division 2ND Floor
Washington, MO 63090-4700
Phone
(636) 231-3695
Fax
(636) 231-3696
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 54101-020 WI
Pulmonary Disease Physician 207RP1001X 2011001472 MO Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 2011001472 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2011001472 MO
Internal Medicine Physician 207R00000X 2011001472 MO
Internal Medicine Physician 207R00000X 54101-020 WI
Pulmonary Disease Physician 207RP1001X 54101-020 WI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 54101-020 WI

Addresses

Primary practice location

901 Patients First Dr
Pulmonary Division 2ND Floor
Washington, MO 63090-4700

Mailing address

652 Wyndham Crossings Cir
Des Peres, MO 63131-2149
Phone (716) 553-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110725000511 MO Practitioner - Pulmonary DiseasePractitioner - Hospitalist 7911191929 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Pulmonology Washington LLCGroup PAC ID 4981728615, 3 clinicians

Practice addresses (Care Compare)

901 Patients 1St Dr
Suite 3400
Washington, MO 63090-4700
Phone (636) 231-6245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011001472MOMDCritical Care Medicine (Internal Medicine) Physician
54101-020WIMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Pulmonology Washington LLC Pulmonary Disease CurrentSince Jul 2, 2012 Accepting new patients
Cogent Healthcare of Missouri, Inc Critical Care Medicine CurrentSince Nov 4, 2017 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC CurrentSince Jul 1, 2014 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Mar 7, 2020 Accepting new patients
Hospitalist Medicine Physicians of Wisconsin Rapids LTD Internal Medicine Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

901 Patients First Dr
Fl 2
Washington, MO 63090
Phone (636) 231-3695

901 Patients First Dr
Ste 3400
Washington, MO 63090
Phone (636) 231-6245

Interoperability endpoints

  • Direct secure messaging: akhan106555@directc.mercy.net

Organizations & group practices 7

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 5

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1790993863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 WYNDHAM CROSSINGS CIR",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631312149",
            "telephone_number": "716-553-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "address_2": "PULMONARY DIVISION 2ND FLOOR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-231-3695",
            "fax_number": "636-231-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ADEEL",
        "middle_name": "IQBAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WI",
            "license": "54101-020",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2011001472",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MO",
            "license": "2011001472",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2011001472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011001472",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "54101-020",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "54101-020",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "54101-020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.