Deactivated NPI 1720073729 Deactivated / Inactive NPI Male Practitioner

Dr. Aftab A Khan , MD

Internal Medicine • Morris, IL

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Aftab Khan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2005

NPI Deactivation Date March 23, 2006

Total Practice Duration ~18 Years of Practice (1988 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Aftab Khan, MD was a registered Internal Medicine practicing in Morris, IL. Throughout an active medical career spanning 18 years, Dr. Khan provided care at the practice location at 425 E US ROUTE 6 until profile deactivation on 2006-03-23.

Dr. Khan maintained professional affiliations with Friedell Clinic, S. C., Midwest Inpatient Anderson Health Inc, Morris Hospital and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

425 E Us Route 6

Morris, IL 60450

Telephone 8159428080

Fax 8159414105

Associated Practice Facility / Clinic

🏢 Grundy County Pain Center Sc Facility NPI 1083731608

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Morris, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +11.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Morris, IL (7544 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khan (38 Years) 38 Yrs

Morris Specialty Average (26.9 Years) 26.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	865	282	$216.00	$124.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg	374	49	$9.10	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	160	61	$71.00	$13.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	43	$152.22	$80.59
99213 Established patient office or other outpatient visit, typically 15 minutes	140	82	$185.00	$88.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$184.00	$127.65
G0444 Annual depression screening, 5 to 15 minutes	104	104	$44.00	$18.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	15	$21.00	$1.26
J0696 Injection, ceftriaxone sodium, per 250 mg	48	27	$45.67	$0.46
G0008 Administration of influenza virus vaccine	44	44	$25.00	$24.50
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	39	29	$50.00	$14.51
90662 Influenza vaccine split virus, preservative free	38	38	$90.00	$81.82
99495 Transitional care management services for problem of at least moderate complexity	23	18	$327.00	$200.62
99238 Hospital discharge day management, 30 minutes or less	23	23	$289.78	$81.33
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	18	17	$157.00	$139.78
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$339.00	$290.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	12	$470.80	$117.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$223.27	$135.59
G0009 Administration of pneumococcal vaccine	13	13	$48.00	$31.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	877	314	$216.00	$124.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	64	$164.28	$82.42
99213 Established patient office or other outpatient visit, typically 15 minutes	165	110	$185.00	$88.14
J1100 Injection, dexamethasone sodium phosphate, 1 mg	118	31	$35.34	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	48	$71.00	$13.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	74	74	$184.00	$126.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	17	$21.00	$1.55
G0444 Annual depression screening, 5 to 15 minutes	44	44	$34.55	$16.03
G0008 Administration of influenza virus vaccine	42	41	$24.64	$24.15
90662 Influenza vaccine split virus, preservative free	38	37	$88.03	$71.28
99238 Hospital discharge day management, 30 minutes or less	34	32	$183.38	$83.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$264.61	$136.68
99495 Transitional care management services for problem of at least moderate complexity	24	21	$327.00	$198.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$155.00	$54.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$845.05	$178.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	13	$542.45	$121.74
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	15	$46.00	$14.60
J0696 Injection, ceftriaxone sodium, per 250 mg	14	11	$57.14	$0.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	966	323	$216.00	$125.27
J1100 Injection, dexamethasone sodium phosphate, 1 mg	280	27	$20.00	$0.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	279	101	$160.72	$74.29
99213 Established patient office or other outpatient visit, typically 15 minutes	178	123	$185.00	$89.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$184.00	$128.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	90	45	$71.00	$13.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	48	$569.01	$103.75
99238 Hospital discharge day management, 30 minutes or less	71	70	$175.01	$74.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	61	18	$21.00	$1.70
G0008 Administration of influenza virus vaccine	49	49	$20.00	$19.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	46	$229.35	$143.20
90662 Influenza vaccine split virus, preservative free	44	44	$65.00	$63.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$155.00	$55.30
99495 Transitional care management services for problem of at least moderate complexity	33	31	$327.00	$201.65
99442 Telephone medical discussion with physician, 11-20 minutes	30	25	$85.00	$85.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$275.00	$165.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$694.56	$205.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$263.00	$164.87
G0180 Physician or allowed practitioner 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 and	20	17	$61.00	$51.65
99217 Hospital observation care on day of discharge	15	15	$345.80	$72.18
82962 Blood glucose (sugar) test performed by hand-held instrument	13	12	$11.00	$3.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,067	361	$215.99	$128.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	293	103	$194.13	$75.36
J1100 Injection, dexamethasone sodium phosphate, 1 mg	240	19	$20.00	$0.14
99213 Established patient office or other outpatient visit, typically 15 minutes	177	117	$185.00	$89.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	171	78	$561.16	$106.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$184.00	$130.96
99238 Hospital discharge day management, 30 minutes or less	99	97	$228.78	$74.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	81	34	$71.00	$13.82
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	58	16	$21.00	$2.00
99442 Telephone medical discussion with physician, 11-20 minutes	57	49	$85.00	$85.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$197.66	$144.38
G0008 Administration of influenza virus vaccine	41	41	$20.15	$16.21
99495 Transitional care management services for problem of at least moderate complexity	37	32	$327.00	$202.23
90662 Influenza vaccine split virus, preservative free	37	37	$65.24	$65.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$263.00	$166.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$620.21	$203.93
G0180 Physician or allowed practitioner 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 and	27	20	$61.00	$51.84
82962 Blood glucose (sugar) test performed by hand-held instrument	22	14	$11.00	$3.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$275.00	$166.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$155.00	$54.00
99217 Hospital observation care on day of discharge	13	13	$347.54	$72.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	896	344	$205.78	$107.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	461	218	$146.86	$74.94
J1100 Injection, dexamethasone sodium phosphate, 1 mg	330	28	$18.78	$0.12
99442 Telephone medical discussion with physician, 11-20 minutes	158	133	$74.77	$71.57
99238 Hospital discharge day management, 30 minutes or less	123	121	$157.06	$76.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	70	$413.16	$106.85
99213 Established patient office or other outpatient visit, typically 15 minutes	106	79	$175.70	$73.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$175.00	$114.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	78	$177.03	$147.62
99221 Initial hospital inpatient care per day, typically 30 minutes	72	72	$167.00	$103.51
G0008 Administration of influenza virus vaccine	65	65	$19.85	$16.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	64	40	$63.88	$13.96
90662 Influenza vaccine split virus, preservative free	56	56	$64.73	$60.77
99495 Transitional care management services for problem of at least moderate complexity	49	43	$272.80	$181.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$250.00	$169.19
99218 Hospital observation care typically 30 minutes	32	32	$149.50	$100.99
G0180 Physician or allowed practitioner 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 and	32	28	$58.00	$52.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	30	$464.40	$206.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	12	$20.00	$1.91
G0009 Administration of pneumococcal vaccine	28	24	$15.00	$14.93
99217 Hospital observation care on day of discharge	28	28	$186.82	$73.07
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	25	$17.44	$15.02
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	21	21	$41.67	$14.48
90670 Pneumococcal vaccine for injection into muscle	20	20	$229.40	$214.12
82962 Blood glucose (sugar) test performed by hand-held instrument	18	16	$10.00	$3.28
99239 Hospital discharge day management, more than 30 minutes	17	17	$392.59	$109.03
99220 Hospital observation care, typically 70 minutes	15	15	$465.00	$187.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$261.47	$154.52
99225 Subsequent observation care, typically 25 minutes per day	14	11	$207.86	$74.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,151	351	$204.00	$106.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg	800	58	$18.70	$0.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	374	141	$131.89	$75.58
99213 Established patient office or other outpatient visit, typically 15 minutes	214	133	$174.00	$72.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	82	$236.86	$104.19
99238 Hospital discharge day management, 30 minutes or less	131	127	$137.94	$75.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	74	$35.00	$16.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	100	95	$174.38	$145.38
J0696 Injection, ceftriaxone sodium, per 250 mg	98	36	$40.00	$0.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$175.00	$113.49
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	60	16	$5.00	$0.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	53	$364.52	$203.16
82962 Blood glucose (sugar) test performed by hand-held instrument	50	31	$10.00	$3.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	46	46	$250.00	$168.23
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	40	31	$16.65	$14.75
99217 Hospital observation care on day of discharge	33	31	$226.58	$71.11
99220 Hospital observation care, typically 70 minutes	31	31	$484.16	$184.95
G0008 Administration of influenza virus vaccine	31	30	$15.00	$14.70
99495 Transitional care management services for problem of at least moderate complexity	31	29	$259.00	$159.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	29	14	$20.00	$1.80
90662 Influenza vaccine split virus, preservative free	27	27	$50.00	$49.00
G0180 Physician or allowed practitioner 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 and	25	20	$58.00	$51.95
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$165.68	$102.27
99496 Transitional care management services for problem of high complexity	24	24	$365.00	$226.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$260.00	$162.10
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$223.45	$160.80
94640 Inhalation treatment for airway obstruction or sputum production	20	16	$44.00	$16.93
99218 Hospital observation care typically 30 minutes	18	18	$143.89	$103.13
99225 Subsequent observation care, typically 25 minutes per day	15	15	$155.40	$72.91
G0009 Administration of pneumococcal vaccine	15	15	$15.00	$14.70
99239 Hospital discharge day management, more than 30 minutes	14	14	$306.00	$107.46
90670 Pneumococcal vaccine for injection into muscle	12	12	$192.50	$188.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	923	339	$201.72	$100.82
J1100 Injection, dexamethasone sodium phosphate, 1 mg	610	50	$18.70	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	356	180	$170.90	$68.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	270	82	$109.00	$75.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	160	160	$250.00	$161.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	68	$35.00	$18.92
99238 Hospital discharge day management, 30 minutes or less	106	98	$110.00	$75.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	98	91	$173.00	$141.70
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	22	$288.15	$104.39
J0696 Injection, ceftriaxone sodium, per 250 mg	53	24	$40.00	$0.61
82962 Blood glucose (sugar) test performed by hand-held instrument	44	30	$12.18	$3.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	43	24	$476.86	$203.81
99239 Hospital discharge day management, more than 30 minutes	43	23	$317.91	$107.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	40	$175.00	$109.24
G0008 Administration of influenza virus vaccine	33	33	$15.00	$14.70
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	32	15	$20.00	$1.94
90662 Influenza vaccine split virus, preservative free	26	26	$50.00	$48.96
99495 Transitional care management services for problem of at least moderate complexity	25	23	$259.00	$153.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$218.00	$156.66
99496 Transitional care management services for problem of high complexity	23	23	$365.00	$217.94
G0180 Physician or allowed practitioner 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 and	21	15	$58.00	$50.36
81003 Automated urinalysis test	17	13	$81.00	$2.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$258.59	$156.08
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	16	$15.00	$13.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$239.47	$136.83
87502 Detection test by nucleic acid for multiple types influenza virus	14	13	$309.00	$102.96
G0009 Administration of pneumococcal vaccine	11	11	$15.00	$14.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	718	292	$196.36	$100.26
99213 Established patient office or other outpatient visit, typically 15 minutes	696	252	$162.81	$67.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	362	165	$154.83	$70.84
99238 Hospital discharge day management, 30 minutes or less	173	157	$149.70	$71.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	140	123	$179.17	$140.57
J1100 Injection, dexamethasone sodium phosphate, 1 mg	136	42	$21.92	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	63	$38.75	$23.03
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	66	19	$21.14	$3.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	31	$248.31	$100.60
99291 Critical care, first 30-74 minutes	46	12	$367.28	$228.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	36	$402.61	$195.43
99239 Hospital discharge day management, more than 30 minutes	41	30	$230.98	$103.39
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$256.25	$159.28
J0696 Injection, ceftriaxone sodium, per 250 mg	25	13	$42.00	$0.65
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$354.87	$94.38
99217 Hospital observation care on day of discharge	23	23	$263.74	$66.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$223.75	$104.98
G0180 Physician or allowed practitioner 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 and	19	16	$78.21	$49.98
G0008 Administration of influenza virus vaccine	19	19	$15.00	$14.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$254.00	$155.19
90662 Influenza vaccine split virus, preservative free	15	15	$50.00	$48.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$294.93	$133.46
99220 Hospital observation care, typically 70 minutes	13	13	$597.00	$168.85
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$21.75	$13.71
99225 Subsequent observation care, typically 25 minutes per day	12	11	$198.33	$66.19

Medical Specialties & State Licenses

CMS Verified: 2020-04-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-087831

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036-087831 (IL)

Commercial Insurance / Payer ID Bcbs

03222998 (IL)

Hospital & Practice Group Affiliations

Morris Hospital

580 Sycamore St, Marseilles, IL 613411366

Phone: 8157952122

Morris Hospital

948 W Us Route 6, Morris, IL 604508858

Phone: 8159425474

Morris Hospital

425 E Us Route 6, Morris, IL 604509042

Phone: 8159428080

Midwest Inpatient Anderson Health Inc

6800 State Route 162, Maryville, IL 620628500

Phone: 6182885711

Friedell Clinic, S. C.

7531 S Stony Island Ave, Chicago, IL 606493954

Phone: 7739477764

Morris Hospital

101 S Prairie Ave, Dwight, IL 604201350

Phone: 8155843291

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. John Bolden , MD

Internal Medicine - Infectious Disease

NPI 1073666707

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location March 19, 2019

Registered at 425 E US ROUTE 6, MORRIS, IL 60450 (Tel: 8159428080)

📍

Updated Business Mailing Address March 19, 2019

Registered at 725 SCHOOL ST STE A, MORRIS, IL 604501207 (Tel: 1594191248)

📍

Updated Practice Location May 06, 2014

Registered at 1368 LIBERTY ST, MORRIS, IL 604501410 (Tel: 8159428080)

📍

Updated Business Mailing Address May 06, 2014

Registered at 1368 LIBERTY ST, MORRIS, IL 604501410 (Tel: 8159421852)

👤

Provider Name / Credentials Updated May 06, 2014

Recorded as AFTAB KHAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2014

Internal Medicine (License #036-087831 in IL)

🔄

NPI Profile Reactivated March 28, 2006

Record officially reactivated for active practice on March 28, 2006

⚠️

NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

🟢

Initial NPI Registration & Enumeration September 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720073729

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 15, 2005

Last Update: April 28, 2020

Deactivation Date: March 23, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

725 School St Ste A

Morris, IL 604501207

Phone: 8159419124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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