DR. SAMRAT UMESH KHANNA (MD) – Pulmonary Disease Physician, NPI 1053629881
Pulmonary Disease Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. SAMRAT UMESH KHANNA (MD)
500 N WALL ST STE C400
KANKAKEE, IL 609012942
Phone: (815) 933-3814
Fax: (815) 933-3846
Type: Location
400 Riverside Dr Ste 1500
Bourbonnais, IL 609145004
Phone: (815) 933-2784
Fax: (815) 939-9413
Type: Location
1601 Butterfield Trl
Kankakee, IL 609012959
Phone: (815) 936-6500
Fax: (815) 936-6502
Type: Location
1490 E Walnut St Ste A
Watseka, IL 609701806
Phone: (815) 432-7693
Fax: (815) 936-7228
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 223 Open Payments records for all available years, with a total value of $12,004.
Total Amount is formed as General ($12,004) + Research ($0) + Ownership ($0) = $12,004.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($7,824).
Total Amount
$12,004
General + Research + Ownership
Payments
223
Total payment records
General Amount
$12,004
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-01-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140107001375 | I | Internal Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 649 | 383 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 326 | 184 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 190 | 100 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 163 | 117 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 129 | 119 | $0 |
Insurance plans in this area (ZIP 60901)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| N E U R O L O G Y | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| N E U R O L O G Y | NY |
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