Active NPI
Asad Khaleel Khan, NP-C
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.023592
- Practice address
- 2525 S Michigan Ave
Chicago, IL 60616-2315 - Phone
- (312) 567-2000
- NPI assigned
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.023592 | IL | Primary |
Addresses
Primary practice location
2525 S Michigan Ave
Chicago, IL 60616-2315
Mailing address
2525 S Michigan Ave
Chicago, IL 60616-2315
Phone (312) 567-2000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S450 Summit Ave
Suite 165
Oakbrook Terrace, IL 60181-3952
Phone (630) 320-6871
246 E Janata Blvd
Suite 305
Lombard, IL 60148-5383
Phone (630) 282-7822
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.49 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 78.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.023592 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Home Physicians, LLC | Current | Accepting new patients | |
| Renovo Health Inc | Current | Accepting new patients | |
| Oak Brook Foot & Ankle Specialists PC | Current | Accepting new patients | |
| Faminamed Healthcare Providers SC | Past | Accepting new patients |
Locations
246 E Janata Blvd
Ste 320
Lombard, IL 60148
Phone (219) 214-2047
246 E Janata Blvd
Ste 305
Lombard, IL 60148
Phone (630) 282-7822
1S450 Summit Ave
Ste 165
Oakbrook Terrace, IL 60181
Phone (630) 320-6871
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Physical Medicine & Rehabilitation Physician
- Oakbrook Terrace, IL
- NPI 1568909505
-
- Family Medicine Physician
- Lombard, IL
- NPI 1487442489
-
- Foot & Ankle Surgery Podiatrist
- Michigan City, IN
- NPI 1528609310
IL
-
- Family Medicine Physician
- Chicago, IL
- NPI 1306114426
-
- Geriatric Medicine (Family Medicine) Physician
- Morton Grove, IL
- NPI 1831337401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1144893058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162315",
"telephone_number": "312-567-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162315",
"telephone_number": "312-567-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ASAD",
"middle_name": "KHALEEL",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-19",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.023592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.