DR. KALEEM KHAN (M.D.) – Family Medicine Physician, NPI 1619917713

DR. KALEEM KHAN (M.D.) is a healthcare provider. based in Pittsfield, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036098700 (IL). The NPI Number for DR. KALEEM KHAN (M.D.) is 1619917713

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALEEM KHAN (M.D.)
NPI
1619917713
Phone
(217) 285-2113
Address
640 W Washington St
Enumeration Date
7 June 2006
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
5496795601
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20050506000527
Address ID
IL602011700EV2650XAVEX300
Telehealth
Yes

Contacts

Secure Messaging
kkhan38115@direct.edward.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. KALEEM KHAN (M.D.)

  • 640 W Washington St

    Pittsfield, IL 623631350

    Phone: (217) 285-2113

    Type: Location

  • 1331 W 75TH ST

    NAPERVILLE, IL 605409336

    Phone: (630) 922-1400

    Fax: (630) 904-7378

    Type: Mailing

  • 1331 W 75TH ST STE 202

    NAPERVILLE, IL 605409311

    Phone: (630) 922-1400

    Type: Location

  • 2132, Deep Water Lane, Naperville, DuPage County, Illinois, 60564, United States

    SUITE 228

    NAPERVILLE, IL 605648498

    Phone: (630) 922-1400

    Type: Location

  • Naperville Post Office, 1750, West Ogden Avenue, Naperville, Naperville Township, DuPage County, Illinois, 60540, United States

    NAPERVILLE, IL 605670398

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-04-02 • Largest payer in this snapshot: ABBVIE INC. ($22).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$22
PFIZER INC.$14
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: 2005-05-06

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
I20050506000527IFamily 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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes260217$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi225175$0
99214Established patient office or other outpatient visit, 30-39 minutes17679$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes171115$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a8523$0
View full utilization report →

Insurance plans in this area (ZIP 62363)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What is the registry number for DR. KALEEM KHAN (M.D.)?
The registry entry for DR. KALEEM KHAN (M.D.) shows NPI 1619917713.
Should I treat DR. KALEEM KHAN (M.D.) as an active provider?
Patients and plans typically see DR. KALEEM KHAN (M.D.) as active in the national extract.
What does the directory say DR. KALEEM KHAN (M.D.) does?
Insurance directories may phrase it differently, but here DR. KALEEM KHAN (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. KALEEM KHAN (M.D.)?
The directory associates DR. KALEEM KHAN (M.D.) with Pittsfield, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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