MOHAMMED ILYAS AHMED KHAN (M.D.,) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1417198011

MOHAMMED ILYAS AHMED KHAN (M.D.,) is a healthcare provider. based in Rockford, Illinois. specializing in HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE. They hold the professional credentials M.D.,. They hold a License No. 35.093467 (OH). The NPI Number for MOHAMMED ILYAS AHMED KHAN (M.D.,) is 1417198011

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MOHAMMED ILYAS AHMED KHAN (M.D.,)
NPI
1417198011
Phone
(915) 971-5000
Address
2400 N ROCKTON AVE
Enumeration Date
12 March 2009
Last Update Date
21 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083332300
Graduation Year
2002 (24 years ago)
PAC ID
7810020567
Group Practice PAC ID
4688635337
Professional Enrollment ID
I20141022002314
Address ID
IL604263558HA1XXXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

176 HOSPICE/PALLIATIVE CARE in IL

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Provider Addresses for MOHAMMED ILYAS AHMED KHAN (M.D.,)

  • Mercyhealth Hospital–Rockton Avenue, 2400, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States

    PALLIATIVE CARE

    ROCKFORD, IL 611033655

    Phone: (915) 971-5000

    Fax: (815) 968-9677

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Gilead Sciences, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$18
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: 2014-10-22

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
I20141022002314IHospice/Palliative CareILTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4848$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2322$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 61103)

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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: 4688635337View full group profile
NameSpecialtyState
Family PracticeIL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
P S Y C H I A T R YIL
Internal MedicineIL
Hematology/Oncology, Internal MedicineIL
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL

Reviews

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Frequently asked questions

Where can patients find MOHAMMED ILYAS AHMED KHAN (M.D.,)'s NPI?
You can confirm MOHAMMED ILYAS AHMED KHAN (M.D.,) with NPI 1417198011; it appears in the national provider directory.
Does this profile mean MOHAMMED ILYAS AHMED KHAN (M.D.,) is currently active?
Yes — MOHAMMED ILYAS AHMED KHAN (M.D.,) appears active in the national provider directory.
What kind of provider is MOHAMMED ILYAS AHMED KHAN (M.D.,)?
The page reflects Hospice and Palliative Medicine (Internal Medicine) Physician for MOHAMMED ILYAS AHMED KHAN (M.D.,). Clinical services aligned with this taxonomy classification.
Where is MOHAMMED ILYAS AHMED KHAN (M.D.,)'s primary listing?
We display Rockford, Illinois because that is what the record indicates for MOHAMMED ILYAS AHMED KHAN (M.D.,).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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