SUHAIL KHAN (M.D.) – Emergency Medicine Physician, NPI 1114119880

SUHAIL KHAN (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 125.053315 (IL). The NPI Number for SUHAIL KHAN (M.D.) is 1114119880

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
SUHAIL KHAN (M.D.)
NPI
1114119880
Phone
(309) 966-2040
Address
11217 N OAKWOOD DR
Enumeration Date
15 August 2007
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7863054192
Graduation Year
2007 (19 years ago)
PAC ID
6204966013
Group Practice PAC ID
4284159161
Professional Enrollment ID
I20111108000622
Address ID
TX761261945FO4622XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for SUHAIL KHAN (M.D.)

  • 11217, Oakwood Drive, Peoria, Peoria County, Illinois, 61615, United States

    UNIT 67

    PEORIA, IL 616151038

    Phone: (309) 966-2040

    Type: Mailing

  • OSF STFRANCIS MEDICAL CENTER DEPT OF EMERGENCY MEDICINE

    530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-6710

    Type: Location

  • 13516 NOUVELLE CIR

    ALEDO, TX 760081923

    Phone: (512) 587-9031

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Inari Medical, Inc. ($80).

Total Amount

$80

General + Research + Ownership

Payments

1

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$80
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: 2011-11-08

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
I20111108000622IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making357343$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only252226$0
99284Emergency department visit with moderate level of medical decision making118116$0
99283Emergency department visit with low level of medical decision making3029$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 61615)

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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: 4284159161View full group profile
NameSpecialtyState
Nurse PractitionerFL
Emergency Medicine, Family PracticeTX
Emergency MedicineTX
Nurse PractitionerFL
Anesthesiology, General PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for SUHAIL KHAN (M.D.) in U.S. healthcare records?
The official identifier for SUHAIL KHAN (M.D.) is NPI 1114119880.
Is SUHAIL KHAN (M.D.) shown as active in public data?
Registry records indicate SUHAIL KHAN (M.D.) maintains an active NPI.
What area of care is associated with SUHAIL KHAN (M.D.)?
SUHAIL KHAN (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUHAIL KHAN (M.D.)?
Travel planning: use Peoria, Illinois as the reference point for SUHAIL KHAN (M.D.), then confirm.
When was this NPI issued?
Enumeration for SUHAIL KHAN (M.D.) is noted as August 15, 2007 where the registry provides it.

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