Individual provider Active NPI

Khalid Naseer, MD

  • Gastroenterology Physician
  • Alton, IL
National Provider Identifier
1851341366
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036121860 Issued in IL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01135243OtherMORAILROAD MEDICARE
207173600MedicaidMO
1851341366MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
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, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050802001276 ND Practitioner - Gastroenterology 9335177047 Reassigns benefits to 1 organization
I20070614000102 MO Practitioner - GastroenterologyPractitioner - Hematology 9335177047 Reassigns benefits to 2 organizations
I20150630001727 IL Practitioner - Gastroenterology 9335177047 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
Siu Physicians and Surgeons IncGroup PAC ID 2365352820, 316 clinicians

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

ProcedureNumber of procedures
Colonoscopy92
Upper gastrointestinal (GI) endoscopy for acid reflux195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036121860ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince May 12, 2018 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Mid Dakota Clinic, Inc. CurrentSince Feb 20, 2012 Accepting new patients
Physician Groups LC Gastroenterology CurrentSince Dec 1, 2023 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Physician Groups LC CurrentSince Dec 1, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc Gastroenterology CurrentSince May 12, 2018 Accepting new patients
Saint Francis Medical Center CurrentSince Feb 14, 2023 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 CurrentSince Feb 14, 2023 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.