Active NPI
Aslam Mohammed Khaja, M.D.
- Vascular Neurology Physician
- Lake Barrington, IL
National Provider Identifier
1003014457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 036118844
- Practice address
- 22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538 - Phone
- (847) 882-6604
- Fax
- (847) 882-6228
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036.118844 | IL | |
| Vascular Neurology Physician | 2084V0102X | 036118844 | IL | Primary |
Addresses
Primary practice location
22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Mailing address
22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Phone (847) 882-6604
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036118844 | Medicaid | IL | |
| 20614135 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| 206147 | Other | IL | MEDICARE PTAN (GROUP) |
| P01144160 | Other | IL | RAILROAD MEDICARE INDIVIDUAL PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Northeastern Ohio University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2542
Phone 84788266042191
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.118844 | IL | MD | Neurology Physician |
Networks
- IL HMO C-SNP
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- IL PPO Downstate
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFFFBA/Endpoint/EFFFBA
- https://api.platform.athenahealth.com/380/brand/5/csg/66/fhir/r4
- https://epicmobile.presencehealth.org/fhirPRD/api/FHIR/R4/
- https://epicproxy.et1085.epichosted.com/FHIRPROXY/api/FHIR/R4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Lake Barrington, IL
- NPI 1427094077
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1003014457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22285 N PEPPER RD",
"address_2": "SUITE 401",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600102538",
"telephone_number": "847-882-6604",
"fax_number": "847-882-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22285 N PEPPER RD",
"address_2": "SUITE 401",
"city": "LAKE BARRINGTON",
"state": "IL",
"postal_code": "600102538",
"telephone_number": "847-882-6604",
"fax_number": "847-882-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAJA",
"first_name": "ASLAM",
"middle_name": "MOHAMMED",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036.118844",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "IL",
"license": "036118844",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036118844",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (INDIVIDUAL)",
"identifier": "20614135",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN (GROUP)",
"identifier": "206147",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE INDIVIDUAL PTAN",
"identifier": "P01144160",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.