IMRAN KHAN – Family Medicine Physician, NPI 1356722151

IMRAN KHAN is a healthcare provider. based in Belleville, Illinois. specializing in FAMILY PRACTICE. They hold a License No. 125067637 (IL). The NPI Number for IMRAN KHAN is 1356722151

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
IMRAN KHAN
NPI
1356722151
Phone
Not provided
Address
180 S 3RD ST
Enumeration Date
17 June 2015
Last Update Date
29 April 2020

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3098334101
Graduation Year
2013 (13 years ago)
PAC ID
7719280122
Group Practice PAC ID
9032615059
Professional Enrollment ID
I20180720000689
Address ID
IL614553313MA525XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for IMRAN KHAN

  • 180 S 3RD ST

    BELLEVILLE, IL 622201952

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-07-20

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
I20180720000689IFamily PracticeILTBD

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 making176158$0
99284Emergency department visit with moderate level of medical decision making151135$0
99291Critical care, first 30-74 minutes4342$0
99283Emergency department visit with low level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 62220)

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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: 9032615059View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerIL
Nurse PractitionerMO
Family PracticeCT
Emergency MedicineMI
Nurse PractitionerIL
Nurse PractitionerIA
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Emergency MedicineIL

Reviews

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Frequently asked questions

What identifier follows IMRAN KHAN across health systems?
The NPI 1356722151 uniquely identifies IMRAN KHAN in U.S. healthcare data.
Is IMRAN KHAN's NPI status active today?
Active status means IMRAN KHAN's NPI record is not deactivated in the public file.
How should patients interpret IMRAN KHAN's specialty?
The extract shows Family Medicine Physician for IMRAN KHAN. Clinical services aligned with this taxonomy classification.
What geographic area is tied to IMRAN KHAN?
IMRAN KHAN is associated with Belleville, Illinois in the same public data insurers reference.
Can I export IMRAN KHAN's record?
You can download the official NPPES record; we summarize key fields for readability.

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