Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811339203 Individual Practitioner Male Practitioner

Dr. Siddiq A. Khan , MD

Internal Medicine • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Siddiq Khan, MD is a registered healthcare professional specializing in Internal Medicine in Saint Cloud, MN. Practice services are available at 4801 VETERANS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4801 Veterans Dr

Saint Cloud, MN 563032015

Telephone 3202521670
Associated Practice Facility / Clinic
🏢 St. Cloud Vamc Facility NPI 1235187741

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
48 Specialists

Practicing in Saint Cloud, MN (2726 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-25
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME116020

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

Commercial Insurance / Payer ID V.a. Medical
1811339203 (FL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Patricia Meyer , LICSW

Social Worker - Clinical

NPI 1003088337

Licensed Independent Clinical Social Worker

NPI 1003292889

Doctor of Pharmacy (Pharm.D.)

Nicole Willis

Occupational Therapy Assistant

NPI 1003614652
Erin Bruntlett

Specialist/Technologist - Rehabilitation, Blind

NPI 1003621533
Moriah Lelou

Licensed Practical Nurse

NPI 1003635434
Sara Bukowski

Health & Wellness Coach

NPI 1003643289

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location February 25, 2025

Registered at 4801 VETERANS DR, SAINT CLOUD, MN 563032015 (Tel: 3202521670)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2025

Internal Medicine (License #ME116020 in FL)

📍
Updated Practice Location January 06, 2020

Registered at 520 S. PIERCE AVE. SUITE 150, MASON CITY, IA 50401 (Tel: 6414945000)

👤
Provider Name / Credentials Updated January 06, 2020

Recorded as SIDDIQ KHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2020

General Practice (License #ME 116020 in FL)

NPI Profile Active July 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2014

Registered at 2201 N BROADWELL AVE, GRAND ISLAND, NE 688032153 (Tel: 3083823660)

📍
Updated Business Mailing Address July 29, 2014

Registered at 2201 N BROADWELL AVE, GRAND ISLAND, NE 688032153 (Tel: 3083823660)

👤
Provider Name / Credentials Updated July 29, 2014

Recorded as SIDDIQ KHAN, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2014

General Practice (License #4301102709 in MI)

🟢
Initial NPI Registration & Enumeration July 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811339203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2013
Last Update: February 25, 2025
Sole Proprietor: No

Mailing Address

2201 N Broadwell Ave

Grand Island, NE 688032153

Phone: 3083823660

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.