DR. MOHAMMED ALI KHAN (M.D.) – Pediatrics Physician, NPI 1396953485
Pediatrics Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MOHAMMED ALI KHAN (M.D.)
1000 Health Center Dr
Mattoon, IL 619384644
Phone: (217) 238-4325
Fax: (217) 348-4920
Type: Location
3212, Court Street, Pekin Heights, Pekin, Tazewell County, Illinois, 61554, United States
PEKIN, IL 615546209
Phone: (309) 306-1234
Fax: (309) 213-9661
Type: Mailing
405 W Jackson St
Carbondale, IL 629011467
Phone: (618) 549-0721
Fax: (618) 529-0414
Type: Location
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: 2022-11-08
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 |
|---|---|---|---|---|
| I20140327000922 | I | Pediatric Medicine | IL | TBD |
| I20221108003140 | I | Pediatric Medicine | NE | 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 61938)
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