MOHAMMAD HASSAN KHAN (ARNP) – Nurse Practitioner, NPI 1477983914
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MOHAMMAD HASSAN KHAN (ARNP)
430 PENNSYLVANIA AVE STE 150
GLEN ELLYN, IL 601374464
Phone: (888) 693-6437
Fax: (630) 432-6667
Type: Location
110 S WOODLAND ST
WINTER GARDEN, FL 347873546
Phone: (407) 905-8827
Fax: (407) 654-4079
Type: Mailing
13275 W COLONIAL DR
WINTER GARDEN, FL 347873984
Phone: (407) 905-8827
Fax: (407) 654-4079
Type: Location
10775 Pioneer Trl Ste 215
Truckee, CA 961610234
Phone: (415) 424-4266
Fax: (415) 520-6633
Type: Location
8300 Esters Blvd Ste 900
Irving, TX 750632233
Phone: (415) 424-4266
Fax: (415) 520-6633
Type: Location
PO BOX 713260
CHICAGO, IL 606771260
Phone: (630) 469-9200
Type: Mailing
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: 2024-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20131205001168 | I | Nurse Practitioner | FL | TBD |
| I20240726000167 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60137)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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