Individual provider Active NPI

Abigail Rachael Khan, M.D.

  • Pediatrics Physician
  • Schaumburg, IL
National Provider Identifier
1013596246
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036.170086 Issued in IL
Practice address
955 National Pkwy # 40
Schaumburg, IL 60173-5161
Phone
(630) 543-3020
NPI assigned
Apr 5, 2021
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907002426 IL Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 6709260961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.170086ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Mar 24, 2024 Accepting new patients

Locations

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Interoperability endpoints

  • Direct secure messaging: akhan286220@direct.luriechildrens.org
  • Direct secure messaging: apate139906@direct.luhs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.