KHEDER BASHEER (MD) – Internal Medicine Physician, NPI 1932624418

KHEDER BASHEER (MD) is a healthcare provider. based in Monmouth, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036155667 (IL). The NPI Number for KHEDER BASHEER (MD) is 1932624418

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
KHEDER BASHEER (MD)
NPI
1932624418
Phone
(309) 734-3141
Address
1000 W HARLEM AVE
Enumeration Date
7 August 2017
Last Update Date
19 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
6901214121
Group Practice PAC ID
5294621793
Professional Enrollment ID
I20210427002752
Address ID
IL614621007MO1000XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

Provider Addresses for KHEDER BASHEER (MD)

  • 1000 W HARLEM AVE

    MONMOUTH, IL 614621007

    Phone: (309) 734-3141

    Fax: (309) 734-3029

    Type: Location

  • 3224 POST WOODS DR APT E

    ATLANTA, GA 303393437

    Phone: (470) 337-3568

    Type: Mailing

  • 3224 POST WOODS DR.

    APT E

    ATLANTA, GA 30339

    Phone: (470) 337-3568

    Type: Location

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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-04-27

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
I20210427002752IInternal MedicineILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61462)

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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: 5294621793View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Family PracticeMI
Clinical Social WorkerIL
Family PracticeIL
Family PracticeIL
Physician AssistantIL

Reviews

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Frequently asked questions

What is the registry number for KHEDER BASHEER (MD)?
The registry entry for KHEDER BASHEER (MD) shows NPI 1932624418.
Is KHEDER BASHEER (MD)'s NPI status active today?
Active status means KHEDER BASHEER (MD)'s NPI record is not deactivated in the public file.
How should patients interpret KHEDER BASHEER (MD)'s specialty?
The extract shows Internal Medicine Physician for KHEDER BASHEER (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KHEDER BASHEER (MD)?
KHEDER BASHEER (MD) is associated with Monmouth, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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