Individual provider Active NPI

Nitin Kher

  • Interventional Cardiology Physician
  • Crystal Lake, IL
National Provider Identifier
1063512325
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036085008 Issued in IL
Practice address
690 E Terra Cotta Ave Ste a
Crystal Lake, IL 60014-3605
Phone
(815) 307-8075
Fax
(815) 344-4302
NPI assigned
Sep 25, 2006
Last updated
May 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036085008 IL Primary

Addresses

Primary practice location

690 E Terra Cotta Ave Ste a
Crystal Lake, IL 60014-3605

Mailing address

PO Box 787
McHenry, IL 60051-9013
Phone (224) 238-4160

Other identifiers 4

IdentifierTypeStateIssuer
036085008MedicaidIL
P00742097OtherILRAILROAD MEDICARE
05620217OtherILBCBS OF IL
DP2616OtherILRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nkher236485@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
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
I20050311000701 IL Practitioner - Cardiovascular Disease (Cardiology) 2466434410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

690 E Terra Cotta Ave
Suite a
Crystal Lake, IL 60014-3605
Phone (815) 307-8075

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.56 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036085008ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D. Tallon, DDS, PC Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients
Harper Hutzel Hospital Past Accepting new patients
Anil K Khemani MD SC Past Accepting new patients
Cardiac & Vascular Specialists, S.C. Interventional Cardiology Past Accepting new patients
Skaggs Community Health Center and Clinics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDHGCD/Endpoint/DDHGCD
  • Direct secure messaging: nkher236485@direct.myadvocateaurora.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1063512325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600519013",
            "telephone_number": "224-238-4160",
            "fax_number": "847-214-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E TERRA COTTA AVE STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143605",
            "telephone_number": "815-307-8075",
            "fax_number": "815-344-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHER",
        "first_name": "NITIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036085008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00742097",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "05620217",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP2616",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkher236485@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "661 Ridgeview Dr",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600507012",
            "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": "661 Ridgeview Dr",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600507012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.