Mohammed Hasan Khan, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

036.177944 Issued in IL

Practice address

13011 S 104TH Ave Ste 100
Palos Park, IL 60464-1508

Phone

(708) 478-3600

Fax

(708) 274-3299

NPI assigned

Aug 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, OH, IL3 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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart Care Centers of Illinois, S.C.Group PAC ID 6103738810, 37 clinicians

Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, shared by 2 NPIs, 397 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Macneal Hospital Hospital, Berwyn, IL, CCN 140054
• Kings Daughters Medical Center Ohio Hospital, Portsmouth, OH, CCN 360361
• Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score

84.04 of 100Reported as group

Quality

60.55

Promoting interoperability

100

Improvement activities

40

Cost

78.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkhan75008@direct.kdhealth.us

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.

• Heart Care Centers of Illinois, SC

  • Cardiovascular Disease Physician
  • Palos Park, IL
  • NPI 1508810086

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities ENT

  • Otolaryngology Physician
  • Ashland, KY
  • NPI 1497083539

  Internal Medicine, OH

  Medicare reassignment NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities Physical Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736

  Internal Medicine

  Medicare reassignment NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialties Tri State Regional Cancer Center

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1699565176
  NPD
• Kings Daughters Medical Specialties Inc.

  dba Kings Daughters Medical Specialties - KHI Cardiology

  • Cardiovascular Disease Physician
  • Ashland, KY
  • NPI 1134484892

  Interventional Cardiology

  NPD
• Gottlieb Community Health Services Corporation

  dba Macneal Acute Rehab

  • Rehabilitation Hospital Unit
  • Berwyn, IL
  • NPI 1871977751
  NPD (past)
• Heart Care Centers of Illinois, SC

  • Physician Assistant
  • Palos Park, IL
  • NPI 1104238534

  Interventional Cardiology

  NPD (past)
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  NPD (past)
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialties Bluegrass Urology

  • Cardiovascular Disease Physician
  • Ashland, KY
  • NPI 1972830404

  Internal Medicine

  NPD (past)

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

• Gottlieb Community Health Services Corporation

  dba MacNeal Hospital

  • General Acute Care Hospital
  • Berwyn, IL
  • NPI 1295710580
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation
• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• Portsmouth Hospital Corporation

  dba King's Daughters Medical Center - Ohio

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1417227398
  Care Compare affiliation
• Southern Ohio Medical Center

  • General Acute Care Hospital
  • Portsmouth, OH
  • NPI 1053342816
  Care Compare affiliation

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1063844959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-478-3600",
            "fax_number": "708-274-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE STE 100",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641508",
            "telephone_number": "708-478-3600",
            "fax_number": "708-274-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10260 191st St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mokena",
            "state": "IL",
            "postal_code": "604488802",
            "country_code": "US",
            "telephone_number": "708-478-4224",
            "fax_number": "708-478-4033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Oneida St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604356550",
            "country_code": "US",
            "telephone_number": "815-823-8200",
            "fax_number": "815-823-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3231 Euclid Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023472",
            "country_code": "US",
            "telephone_number": "708-783-2055",
            "fax_number": "708-783-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11560 S Kedzie Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608034517",
            "country_code": "US",
            "telephone_number": "708-972-7520",
            "fax_number": "708-972-7521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11560 S Kedzie Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608034517",
            "country_code": "US",
            "telephone_number": "708-824-1114",
            "fax_number": "708-824-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN KHAN",
        "first_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036.177944",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "006628",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "53688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurang Gujarathi, DO
• Lauren Ansemoss Haddad, OD
• Hallman Healthcare, Inc.
• Tabassum Hanif, MD
• George Frederick Harris, M.D.
• Heart Care Centers of Illinois, SC
• Heart Care Centers of Illinois, SC
• Kelsey Rose Heroux, MD
• Mary C Hewitt, APN
• Christopher James Higgins, PSYD

• Interventional Cardiology Physician in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Interventional Cardiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.

Verify at the official NPI Registry.