Abdul Sami Khan, MD - Medicare Gastroenterology in Pleasant Prairie, WI

Abdul Sami Khan, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Pleasant Prairie, Wisconsin. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Bonaventure Medical Foundation Llc and his current practice location is 9697 Saint Catherines Dr, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 653-5330.

Abdul Sami Khan is licensed to practice in Wisconsin (license number 65380-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295944163.

Contact Information

Abdul Sami Khan, MD
9697 Saint Catherines Dr,
Pleasant Prairie, WI 53158-2118
(262) 653-5330
Not Available

Map and Direction




Physician's Profile

Full NameAbdul Sami Khan
GenderMale
SpecialityGastroenterology
Experience23 Years
Location9697 Saint Catherines Dr, Pleasant Prairie, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Abdul Sami Khan graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1295944163
  • Provider Enumeration Date: 05/21/2007
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840391272
  • Enrollment ID: I20220928001131

Medical Identifiers

Medical identifiers for Abdul Sami Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295944163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01073420A (Indiana)Secondary
207RG0100XInternal Medicine - Gastroenterology 036117736 (Illinois)Secondary
207RG0100XInternal Medicine - Gastroenterology 65380-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Alexius Medical CenterHoffman estates, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bonaventure Medical Foundation Llc7517863178153

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abdul Sami Khan allows following entities to bill medicare on his behalf.
Entity NameBonaventure Medical Foundation Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588775647
PECOS PAC ID: 7517863178
Enrollment ID: O20031212000374
Entity NameAdventist Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033490651
PECOS PAC ID: 0244135762
Enrollment ID: O20040127000064

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abdul Sami Khan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Abdul Sami Khan, MD
Froedtert South, 6308 8th Avenue,
Kenosha, WI 53143

Ph: (262) 577-8522
Abdul Sami Khan, MD
9697 Saint Catherines Dr,
Pleasant Prairie, WI 53158-2118

Ph: (262) 653-5330

Reviews and Comments


Internal Medicine Doctors in Pleasant Prairie, WI

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Dr. David A. Knight, MD, PHD.
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Phone: 262-671-7300    Fax: 262-671-7315

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.