Active NPI
Ahmed Ali Khan, MBBS, MD
- Infectious Disease Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036155894
- Practice address
- 751 N Rutledge St
Springfield, IL 62702-4968 - Phone
- (217) 545-8000
- NPI assigned
- Aug 19, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Infectious Disease Physician | 207RI0200X | 036155894 | IL | Primary |
Addresses
Primary practice location
751 N Rutledge St
Springfield, IL 62702-4968
Mailing address
201 E Madison St
Springfield, IL 62702-5131
Phone (217) 545-3787
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 N Rutledge St
Springfield, IL 62702-4968
Phone (217) 545-8000
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Hospital & facility affiliations
- St Johns Hospital
- Memorial Medical Center
- Taylorville Memorial Hospital
- Hillsboro Area Hospital
- St Francis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036155894 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists, LLP | Current | Accepting new patients | |
| Cep America-Illinois Hospitalists | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
201 E Madison St
Ste 300
Springfield, IL 62702
Phone (217) 545-7876
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
201 E Madison St
Springfield, IL 62702
Phone (217) 545-1881
751 N Rutledge St
Ste 2100
Springfield, IL 62702
Phone (217) 545-3787
Interoperability endpoints
- ahmedkhan@siusm.allscriptsdirect.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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Internal Medicine Physician
- Belleville, IL
- NPI 1841613403
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Hospitalist Physician
- Bloomington, IL
- NPI 1669276523
-
- Internal Medicine Physician
- O Fallon, IL
- NPI 1093380180
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
-
- Critical Access Hospital
- Litchfield, IL
- NPI 1326057076
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- Critical Access Hospital
- Taylorville, IL
- NPI 1144292020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617062400000",
"number": "1861947871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MADISON ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025131",
"telephone_number": "217-545-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N RUTLEDGE ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024968",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "AHMED",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "MBBS, MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-19",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036155894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.