Khalid Al Katranji, MD in Peoria, IL

Khalid Al Katranji, MD is a medicare enrolled "Pediatrics" physician in Peoria, Illinois. His current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-7171.

Khalid Al Katranji is licensed to practice in Wisconsin (license number 3-320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063852762.

Contact Information

	Khalid Al Katranji, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-3656
	(309) 655-7171
	Not Available

Map and Direction

Physician's Profile

Full Name	Khalid Al Katranji
Gender	Male
Speciality	Pediatrics
Location	530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063852762
Provider Enumeration Date: 06/27/2013
Last Update Date: 06/17/2024

Medicare PECOS Information:

PECOS PAC ID: 0042453045
Enrollment ID: I20160610001105

Medical Identifiers

Medical identifiers for Khalid Al Katranji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063852762	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01079284A (Indiana)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	01079284A (Indiana)	Secondary
208000000X	Pediatrics	3-320 (Wisconsin)	Primary

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. Khalid Al Katranji allows following entities to bill medicare on his behalf.

Entity Name	Mercy Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700834165 PECOS PAC ID: 4183535271 Enrollment ID: O20031215000145

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. Khalid Al Katranji 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 Address	Practice Location Address
Khalid Al Katranji, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-7171	Khalid Al Katranji, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-3656 Ph: (309) 655-7171

Reviews and Comments

Pediatrics Doctors in Peoria, IL

Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274
Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313
Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615

Khalid Al Katranji, MD - Medicare Pediatrics in Peoria, IL