Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohammed Mudasser Khan, MD

Individual provider Family Medicine Physician · NPI 1679703797

Mohammed Mudasser Khan, MD is a Family Practice in Belvidere, Illinois. Qualified in 2005, 21 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1954 Gateway Center Dr
Belvidere, IL 61008-9303
Phone: (516) 784-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036130956 (IL)

Record details

NPI number1679703797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address9792 Schaffner Dr, Huntley, IL 60142-0079

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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