Syed Yousuf Khadri, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Practice address

621 Plainfield Rd
Suite 110
Willow Brook, IL 60527-5343

Phone

(630) 325-1799

Fax

(630) 325-1882

NPI assigned

May 25, 2006

Last updated

Mar 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17656/brand/1/csg/1/fhir/r4

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.

• Conventions Psychiatry & Counseling, P.C.

  • Psychiatry Physician
  • Warrenville, IL
  • NPI 1053355289
  Medicare reassignment
• Suburban Psychiatry and Counseling Center LTD.

  • Exclusive Provider Organization
  • Willowbrook, IL
  • NPI 1275722613
  Authorized official Same address or phone
• Elite Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1194779181
  NPD (past)
• Hamdard Health Alliance

  dba Hamdard Health Bensenville

  • Federally Qualified Health Center (FQHC)
  • Bensenville, IL
  • NPI 1700470580
  NPD (past)
• Pilsen Medical Clinic & Associates, LLC

  • Family Medicine Physician
  • Elmhurst, IL
  • NPI 1790039725
  NPD (past)
• Professional Accounts Receivable Management Team

  dba Cognitive Counseling Center

  • Psychiatry Physician
  • Homewood, IL
  • NPI 1881760353
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1154377836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "SUITE 110",
            "city": "WILLOW BROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "630-325-1799",
            "fax_number": "630-325-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 PLAINFIELD RD",
            "address_2": "SUITE 110",
            "city": "WILLOW BROOK",
            "state": "IL",
            "postal_code": "605275343",
            "telephone_number": "630-325-1799",
            "fax_number": "630-325-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHADRI",
        "first_name": "SYED",
        "middle_name": "YOUSUF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauretta Josane Kargbo, FNP-BC
• Nicole Karren, APRN
• Elise Kasper, DPT
• Amber Leigh Kelly, FNP-BC
• Rachel Kenkel
• Iman Khan, MD
• Manal Khashan, APN
• Kids Place of Willowbrool SC
• Kidsmd PC
• Cal Kyung-Hong Kim, DDS

• Psychiatry Physician in Willowbrook, IL
• Providers in Willowbrook, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.