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Khadeeja Khan , PA-C

Physician Assistant β€’ Sycamore, IL

Active NPI 1316871288 Individual Practitioner Female Practitioner
Practice location in NPPES

165 E Plank Rd
Sycamore, IL 601788757

Call 8445993700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

165 E Plank Rd

Sycamore, IL 601788757

Telephone 8445993700
Organization at the Same NPPES Address or Phone
Dekalb Clinic Chartered Facility NPI 1518984228

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sycamore and Illinois

12 active clinicians are listed under Physician Assistant with a practice address in Sycamore, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sycamore

25% of these 12 clinicians have the CMS telehealth indicator.

58.3% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.012102

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

16 listed
Dr. Nouman Ali , DO

Internal Medicine

NPI 1699395608

Doctor of Osteopathic Medicine (D.O.)

Jessica Anderson , FNP-BC

Nurse Practitioner

NPI 1023681079

Family Nurse Practitioner (Board Certified)

Dr. Deepak Ariga , MD

Internal Medicine - Infectious Disease

NPI 1700845260

Doctor of Medicine (M.D.)

NPI 1033478342

Doctor of Medicine (M.D.)

Tempest Jamison , PA-C

Physician Assistant

NPI 1801587795

Physician Assistant (Certified)

Miriam Keclik

Nurse Practitioner - Family

NPI 1649978289

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2026

Physician Assistant (license number reported to NPPES: IL 085.012102)

βœ…
NPI Profile Active June 08, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 08, 2026

Registered at 165 E PLANK RD, SYCAMORE, IL 601788757 (Tel: 8445993700)

πŸ“
Business Mailing Address (Initial Record) June 08, 2026

Registered at 165 E PLANK RD, SYCAMORE, IL 601788757

πŸ‘€
Provider Name / Credentials (Initial Record) June 08, 2026

Recorded as KHADEEJA KHAN, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2026

Family Medicine (license number reported to NPPES: IL 085.012102)

🟒
Initial NPI Registration & Enumeration June 08, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316871288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2026
Last Update: July 14, 2026
Sole Proprietor: No

Other Physician Assistants in Sycamore

All Physician Assistants in Sycamore

Mailing Address

165 E Plank Rd

Sycamore, IL 601788757

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.