DR. MANSOOR KHAN (MD) – Internal Medicine Physician, NPI 1053490920

DR. MANSOOR KHAN (MD) is a healthcare provider. based in Villa park, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036-093169 (IL). The NPI Number for DR. MANSOOR KHAN (MD) is 1053490920

Main info

Male
Sole Proprietor
33 Years Of Experience
Name
DR. MANSOOR KHAN (MD)
NPI
1053490920
Phone
(847) 952-7181
Address
PO BOX 7077
Enumeration Date
3 November 2006
Last Update Date
8 April 2009

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8472648618
Graduation Year
1993 (33 years ago)
PAC ID
2769566009
Group Practice PAC ID
4385728625
Professional Enrollment ID
I20080226000548
Address ID
IL600073378EL800XXRDXX314
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. MANSOOR KHAN (MD)

  • Villa Park Post Office, 1415, South Ardmore Avenue, Villa Park, DuPage County, Illinois, 60181, United States

    VILLA PARK, IL 601817077

    Phone: (847) 952-7181

    Fax: (847) 437-8824

    Type: Mailing

  • 407, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    ELK GROVE VILLAGE, IL 600073311

    Phone: (847) 952-7181

    Fax: (847) 437-8824

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Lilly USA, LLC ($25).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080226000548IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2,195523$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,593183$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month576175$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes38747$0
99213Established patient office or other outpatient visit, 20-29 minutes375196$0
View full utilization report →

Insurance plans in this area (ZIP 60181)

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Provider's Procedures

DR. MANSOOR KHAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL81002Urinalysis, manual test119106
INTERNAL MEDICINEIL85610Blood test, clotting time32638

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385728625View full group profile
NameSpecialtyState
Nurse PractitionerIL

Reviews

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Frequently asked questions

Is DR. MANSOOR KHAN (MD) listed with a National Provider Identifier?
Yes — DR. MANSOOR KHAN (MD) has NPI 1053490920 on file in the registry.
Would DR. MANSOOR KHAN (MD) appear as active to a payer?
You can treat DR. MANSOOR KHAN (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. MANSOOR KHAN (MD)'s focus?
For DR. MANSOOR KHAN (MD), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MANSOOR KHAN (MD) associated with Villa Park?
Public fields place DR. MANSOOR KHAN (MD) around Villa Park, Illinois. Always confirm the exact site before visiting.
Does DR. MANSOOR KHAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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