DR. SAMRAT UMESH KHANNA (MD) – Pulmonary Disease Physician, NPI 1053629881

DR. SAMRAT UMESH KHANNA (MD) is a healthcare provider. based in Kankakee, Illinois. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 036132687 (IL). The NPI Number for DR. SAMRAT UMESH KHANNA (MD) is 1053629881

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMRAT UMESH KHANNA (MD)
NPI
1053629881
Phone
(815) 933-3814
Address
500 N WALL ST STE C400
Enumeration Date
14 September 2010
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8444044787
Graduation Year
2008 (18 years ago)
PAC ID
7416185905
Group Practice PAC ID
3274434717
Professional Enrollment ID
I20140107001375
Address ID
IL609012942KA500XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
skhanna24661@Direct.riversidehealthcare.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

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

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: 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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140107001375IInternal 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 minutes649383$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes326184$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes190100$0
99215Established patient office or other outpatient visit, 40-54 minutes163117$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes129119$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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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: 3274434717View full group profile
NameSpecialtyState
Nurse PractitionerIL
N E U R O L O G YIL
Physician AssistantIL
-IL
-IL
-IL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
N E U R O L O G YNY

Reviews

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Frequently asked questions

Is DR. SAMRAT UMESH KHANNA (MD) listed with a National Provider Identifier?
Yes — DR. SAMRAT UMESH KHANNA (MD) has NPI 1053629881 on file in the registry.
Is DR. SAMRAT UMESH KHANNA (MD) shown as active in public data?
Registry records indicate DR. SAMRAT UMESH KHANNA (MD) maintains an active NPI.
What kind of doctor is DR. SAMRAT UMESH KHANNA (MD)?
DR. SAMRAT UMESH KHANNA (MD) is associated with Pulmonary Disease Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. SAMRAT UMESH KHANNA (MD) located near Kankakee?
DR. SAMRAT UMESH KHANNA (MD) currently maps to Kankakee, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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