Dr Mohummed Radwan Khani, MD - Medicare Colorectal Surgery (proctology) in Jacksonville, NC

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Dr Mohummed Radwan Khani, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Jacksonville, North Carolina. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Colorectal Surgery (proctology). His current practice location is 255 Memorial Dr, Jacksonville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (347) 820-4943.

Dr Mohummed Radwan Khani is licensed to practice in Pennsylvania (license number MD449711) 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 1508022740.

Contact Information

Dr Mohummed Radwan Khani, MD
255 Memorial Dr,
Jacksonville, NC 28546-6333
(347) 820-4943
Not Available

Map and Direction




Physician's Profile

Full NameDr Mohummed Radwan Khani
GenderMale
SpecialityColorectal Surgery (proctology)
Experience22 Years
Location255 Memorial Dr, Jacksonville, North Carolina
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:
  • Dr Mohummed Radwan Khani graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1508022740
  • Provider Enumeration Date: 08/06/2008
  • Last Update Date: 07/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0547480550
  • Enrollment ID: I20161213000621

Medical Identifiers

Medical identifiers for Dr Mohummed Radwan Khani such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508022740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD449711 (Pennsylvania)Secondary
208C00000XColon & Rectal Surgery MD449711 (Pennsylvania)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hermann Hospital SystemHouston, TXHospital
Hca Houston Healthcare PearlandPearland, TXHospital

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. Dr Mohummed Radwan Khani allows following entities to bill medicare on his behalf.
Entity NameMemorial Hermann Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003985102
PECOS PAC ID: 7012008360
Enrollment ID: O20070801000368
Entity NameAdvanced Colon Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649865981
PECOS PAC ID: 9537565288
Enrollment ID: O20210907000918

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. Dr Mohummed Radwan Khani 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
Dr Mohummed Radwan Khani, MD
252 Memorial Drive,
Jacksonville, NC 28546

Ph: (347) 820-4943		Dr Mohummed Radwan Khani, MD
255 Memorial Dr,
Jacksonville, NC 28546-6333

Ph: (347) 820-4943

Reviews and Comments



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.