Individual provider Active NPI

Ehab El-Khabiry, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1023306230
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-135959 Issued in IL
Practice address
2605 S Indiana Ave
Apt 1704
Chicago, IL 60616
Phone
(815) 319-3398
NPI assigned
Jul 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 186 WI
Internal Medicine Physician 207R00000X 036-135959 IL Primary

Addresses

Primary practice location

2605 S Indiana Ave
Apt 1704
Chicago, IL 60616

Mailing address

2605 S Indiana Ave
Apt 1704
Chicago, IL 60616-2849
Phone (815) 319-3398

Other practice location 1

2301 E 93rd St Ste 3610
Chicago, IL 60617-3913
Phone (773) 967-5932

Other identifiers 1

IdentifierTypeStateIssuer
100080301MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address eelkhabiry203031@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141016000609 IL Practitioner - HospitalistPractitioner - Internal Medicine 7113148131 Reassigns benefits to 4 organizations
I20180912003387 WI Practitioner - Internal Medicine 7113148131 Reassigns benefits to 1 organization
I20241224001557 MO Practitioner - Internal Medicine 7113148131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-135959ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Insight Chicago, Inc. Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Mar 13, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 1, 2015 Accepting new patients
Insight Chicago, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 28, 2018 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1023306230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 S INDIANA AVE",
            "address_2": "APT 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162849",
            "telephone_number": "815-319-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 S INDIANA AVE",
            "address_2": "APT 1704",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "815-319-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E 93rd St Ste 3610",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173913",
            "country_code": "US",
            "telephone_number": "773-967-5932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EL-KHABIRY",
        "first_name": "EHAB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-21",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-135959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080301",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eelkhabiry203031@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2301 E 93rd St Ste 3610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2301 E 93rd St Ste 3610",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606173913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.