Active NPI
Abigail Rachael Khan, M.D.
- Pediatrics Physician
- Schaumburg, IL
National Provider Identifier
1013596246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.170086
- Practice address
- 955 National Pkwy # 40
Schaumburg, IL 60173-5161 - Phone
- (630) 543-3020
- NPI assigned
- Apr 5, 2021
- Last updated
- Jan 10, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125079031 | IL | |
| Pediatrics Physician | 208000000X | 036.170086 | IL | Primary |
Addresses
Primary practice location
955 National Pkwy # 40
Schaumburg, IL 60173-5161
Mailing address
955 National Pkwy # 40
Schaumburg, IL 60173-5161
Other names 1
- Abigail Rachael Pate
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220907002426 | IL | Order and Referring Only - Pediatric Medicine | 6709260961 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.170086 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ann & Robert H. Lurie Children's Hospital of Chicago | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Pediatrust, L.L.C. | Pediatrics | Past | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
Interoperability endpoints
- akhan286220@direct.luriechildrens.org
- apate139906@direct.luhs.org
- apate339196@direct.myadvocateaurora.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Children's Hospital
- Chicago, IL
- NPI 1235234535
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Pediatrics Physician
- Lake Forest, IL
- NPI 1982958013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1013596246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 NATIONAL PKWY # 40",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 NATIONAL PKWY # 40",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735161",
"telephone_number": "630-543-3020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ABIGAIL",
"middle_name": "RACHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125079031",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.170086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "PATE",
"middle_name": "RACHAEL",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.