HOSAM N KHAYAL (MD) – Hematology (Internal Medicine) Physician, NPI 1144271206

HOSAM N KHAYAL (MD) is a healthcare provider. based in Mishawaka, Indiana. specializing in INTERNAL MEDICINE, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 01065886A (IN). The NPI Number for HOSAM N KHAYAL (MD) is 1144271206

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
HOSAM N KHAYAL (MD)
NPI
1144271206
Phone
(574) 335-2205
Address
5215 Holy Cross Pkwy
Enumeration Date
13 May 2006
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3127441295
Graduation Year
1990 (36 years ago)
PAC ID
0042285298
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20250811002133
Address ID
IL606408090CH845XXAVEX401

Contacts

Secure Messaging
hkhayal262763@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness95
Years active:20State licenses:2Other names

3,511 INTERNAL MEDICINE in IN

Provider Addresses for HOSAM N KHAYAL (MD)

  • 5215 Holy Cross Pkwy

    Mishawaka, IN 465451469

    Phone: (574) 335-2205

    Type: Location

  • 1800 E Lake Shore Dr

    Decatur, IL 625213810

    Phone: (217) 464-5811

    Fax: (217) 464-1318

    Type: Location

  • 20201 Crawford Ave

    Olympia Fields, IL 604611010

    Phone: (844) 740-4445

    Fax: (708) 679-2161

    Type: Location

  • 1199 Hadley Rd Ste 100

    Mooresville, IN 461581788

    Phone: (317) 834-3263

    Fax: (317) 834-5194

    Type: Location

  • 1000 N Westmoreland Rd

    Lake Forest, IL 600451658

    Phone: (847) 234-5600

    Fax: (847) 535-7203

    Type: Location

  • 1740 W TAYLOR ST

    CHICAGO, IL 606127232

    Phone: (312) 492-2706

    Type: Location

  • 1915 Lake Ave

    Plymouth, IN 465639366

    Phone: (574) 948-4000

    Fax: (574) 948-5454

    Type: Location

  • Saint Mary's Hospital, 1800, East Lake Shore Drive, Decatur, Macon County, Illinois, 62521, United States

    DECATUR, IL 625213810

    Phone: (217) 464-5811

    Fax: (217) 464-1318

    Type: Mailing

  • 1915, Lake Avenue, Plymouth, Marshall County, Indiana, 46563, United States

    PLYMOUTH, IN 465639366

    Phone: (574) 948-4000

    Fax: (574) 948-5454

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2024-03-21 • Largest payer in this snapshot: LeMaitre Vascular, Inc. ($123).

Total Amount

$193

General + Research + Ownership

Payments

4

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-21

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: 2025-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20060317000040IHospitalistILTBD
I20090108000004IInternal MedicineINTBD
I20200302001765IInternal MedicineGATBD
I20250811002133IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes659207$0
99238Hospital discharge day management, 30 minutes or less110105$0
99239Hospital discharge day management, more than 30 minutes5150$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3131$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 46545)

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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: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Gastroenterology, Internal MedicineIL
-IL
-IL
Nurse PractitionerIN
O P H T H A L M O L O G YIL
-IL
Hand Surgery, Orthopedic SurgeryIL
Pathology, Internal MedicineIL

Reviews

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Frequently asked questions

Is there an official ID for HOSAM N KHAYAL (MD) in U.S. healthcare records?
The official identifier for HOSAM N KHAYAL (MD) is NPI 1144271206.
Would HOSAM N KHAYAL (MD) appear as active to a payer?
You can treat HOSAM N KHAYAL (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with HOSAM N KHAYAL (MD)?
HOSAM N KHAYAL (MD)'s record emphasizes Hematology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for HOSAM N KHAYAL (MD)?
Travel planning: use Mishawaka, Indiana as the reference point for HOSAM N KHAYAL (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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