Individual provider Active NPI

Abdul Bilal Khan, MD

  • Family Medicine Physician
  • Sycamore, IL
National Provider Identifier
1144647082
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036141653 Issued in IL
Practice address
1850 Gateway Dr Ste 100
Sycamore, IL 60178-3192
Phone
(815) 217-3252
Fax
(815) 756-4941
NPI assigned
Mar 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10216500 NJ
Family Medicine Physician 207Q00000X 036141653 IL Primary

Addresses

Primary practice location

1850 Gateway Dr Ste 100
Sycamore, IL 60178-3192

Mailing address

555 10TH St Unit 102
Palisades Park, NJ 07650-3152
Phone (331) 250-9815

Other practice location 1

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-6020

Other names 1

  • Dr. Abdul Bilal Khan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, IL, WV, TN, TX, MO6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20171214002690 NJ Practitioner - Family Practice 2567767510 Reassigns benefits to 1 organization
I20200428002244 IL Practitioner - Family Practice 2567767510 Reassigns benefits to 1 organization
I20210713000051 WV Practitioner - Family Practice 2567767510
I20210715003957 TN Practitioner - Family Practice 2567767510 Reassigns benefits to 1 organization
I20211210000902 TX Practitioner - Family Practice 2567767510 Reassigns benefits to 1 organization
I20241213002131 MO Practitioner - Family Practice 2567767510 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Texas, P.a. Current Accepting new patients
Afc Physicians of Tennessee, PC Family Medicine CurrentSince May 29, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2021 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2021 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 5, 2020 Accepting new patients
Medexpress Urgent Care Texas, P.a. Family Medicine CurrentSince Dec 7, 2021 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Dec 7, 2021 Accepting new patients
Afc Physicians of Tennessee, PC Current Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Inspira Health Network Medical Group, P.C. Past Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

21202 Owens Rd
Ste 101
Mokena, IL 60448
Phone (779) 334-0030

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1850 Gateway Dr
Ste 100
Sycamore, IL 60178
Phone (815) 217-3252

1722 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 206-2665

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

1015 Hunters Xing
Alcoa, TN 37701
Phone (856) 238-2006

9203 Kingston Pike
Knoxville, TN 37922
Phone (865) 299-6192

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

1751 Earl L Core Rd
Morgantown, WV 26505
Phone (304) 255-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1144647082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 10TH ST UNIT 102",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076503152",
            "telephone_number": "331-250-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GATEWAY DR STE 100",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783192",
            "telephone_number": "815-217-3252",
            "fax_number": "815-756-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Ballard Rd",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681005",
            "country_code": "US",
            "telephone_number": "847-318-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL BILAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-27",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10216500",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036141653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDUL BILAL",
            "last_name": "KHAN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.