Active NPI
Khalid Naseer, MD
- Gastroenterology Physician
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036121860
- Practice address
- 2 Saint Anthonys Way Ste 105
Alton, IL 62002-4580 - Phone
- (618) 465-2761
- Fax
- (618) 465-4750
- NPI assigned
- May 12, 2006
- Last updated
- Nov 5, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 2007001669 | MO | |
| Gastroenterology Physician | 207RG0100X | 036121860 | IL | Primary |
Addresses
Primary practice location
2 Saint Anthonys Way Ste 105
Alton, IL 62002-4580
Mailing address
2 Saint Anthonys Way Ste 105
Alton, IL 62002-4580
Phone (618) 465-2761
Other practice location 1
611 W Park St
Urbana, IL 61801-2529
Phone (217) 383-3610
Other practice location 2
10004 Kennerly Rd
257A
Saint Louis, MO 63128-2141
Phone (314) 842-6333
Other practice location 3
315 W Carpenter St Fl 1
Springfield, IL 62702-4901
Phone (217) 545-8000
Other practice location 4
3009 N Ballas Rd Ste 359C
Saint Louis, MO 63131-2324
Phone (314) 996-3520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01135243 | Other | MO | RAILROAD MEDICARE |
| 207173600 | Medicaid | MO | |
| 1851341366 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 92 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 195 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036121860 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Mid Dakota Clinic, Inc. | Current | Accepting new patients | |
| Physician Groups LC | Gastroenterology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Physician Groups LC | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Gastroenterology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients | |
| Pinckneyville Community Hospital | Current | Accepting new patients | |
| Central Diagnostic Lab LLC | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Gastroenterology | Current | Accepting new patients |
| Saint Francis Medical Center | Current | Accepting new patients |
Locations
2 Memorial Dr
Ste 101
Decatur, IL 62526
Phone (217) 875-2640
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140
209 Crossroads Pl
Ste 150
Mount Vernon, IL 62864
Phone (618) 244-6222
4113 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 241-9071
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
315 W Carpenter St
Fl 1
Springfield, IL 62702
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
24 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 331-5544
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
3009 N Ballas Rd
Ste 359C
Saint Louis, MO 63131
Phone (314) 996-3520
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-4222
Interoperability endpoints
- khalid_naseer_-_physician@yourcarecommunity.org
Organizations & group practices 13
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.
-
dba SIU HealthCare
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Gastroenterology
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
Gastroenterology
-
- Critical Access Hospital
- Pinckneyville, IL
- NPI 1689646523
-
- Clinic/Center
- Bismarck, ND
- NPI 1275587826
-
dba Saint Francis Medical Center Anesthesia
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
dba Deaconess IL Specialty 513 N Main St
- Orthopaedic Surgery Physician
- Anna, IL
- NPI 1134836612
-
dba Deaconess Care Group Illinois Union County
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Clinical Medical Laboratory
- Saint Louis, MO
- NPI 1861862799
-
dba Medical Arts Clinic
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
- Internal Medicine Physician
- Cape Girardeau, MO
- NPI 1578513016
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1851341366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 105",
"city": "ALTON",
"state": "IL",
"postal_code": "620024580",
"telephone_number": "618-465-2761",
"fax_number": "618-465-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 105",
"city": "ALTON",
"state": "IL",
"postal_code": "620024580",
"telephone_number": "618-465-2761",
"fax_number": "618-465-4750"
}
],
"practiceLocations": [
{
"address_1": "611 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012529",
"country_code": "US",
"telephone_number": "217-383-3610",
"fax_number": "217-326-2704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10004 Kennerly Rd",
"address_2": "257A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282141",
"country_code": "US",
"telephone_number": "314-842-6333",
"fax_number": "314-543-5271",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "315 W Carpenter St Fl 1",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627024901",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-0548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3009 N Ballas Rd Ste 359C",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312324",
"country_code": "US",
"telephone_number": "314-996-3520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASEER",
"first_name": "KHALID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2007001669",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036121860",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01135243",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207173600",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851341366",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3009 N Ballas Rd Ste 359C",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.