NPIMap

Individual provider Active NPI

Farheen Shah-Khan, MD

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1164644480
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036121430 Issued in IL
Practice address
1544 W Chicago Ave
Chicago, IL 60642-5236
Phone
(773) 232-2300
Fax
(773) 232-2301
NPI assigned
May 3, 2007
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-048429 IL
Nephrology Physician 207RN0300X 036121430 IL Primary

Addresses

Primary practice location

1544 W Chicago Ave
Chicago, IL 60642-5236

Mailing address

PO Box 597315
Chicago, IL 60659-7315
Phone (773) 423-6400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fkhan@SNALLC.adaptamed.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000767 IL Practitioner - NephrologyPractitioner - Internal Medicine 9830371822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shifa Nephrology Associates LLCGroup PAC ID 6305028390, 13 clinicians

Practice addresses (Care Compare)

6316 N Lincoln Ave
Suite 200
Chicago, IL 60659-1204
Phone (773) 423-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.91
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-048429ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Services, LTD. Internal Medicine CurrentSince Jul 20, 2017 Accepting new patients
Shifa Nephrology Associates LLC Nephrology CurrentSince Jan 1, 2011 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Shifa Medical Lab LLC PastSince Dec 27, 2021 Accepting new patients
San Pablo Medical Center, LTD. Internal Medicine Past Accepting new patients
Shifa Dialysis LLC PastSince Dec 1, 2021 Accepting new patients

Locations

1540 W Chicago Ave
Chicago, IL 60642
Phone (773) 232-2300

1544 W Chicago Ave
Chicago, IL 60642
Phone (312) 432-1707

2740 W Foster Ave
Ste 313
Chicago, IL 60625
Phone (312) 612-9757

4815 S Western Blvd
Chicago, IL 60609
Phone (312) 380-1379

6316 N Lincoln Ave
#200
Chicago, IL 60659
Phone (773) 423-6400

7531 S Stony Island Ave
Ste 171
Chicago, IL 60649

2158 45th St
Highland, IN 46322
Phone (219) 554-0500

Interoperability endpoints

  • Direct secure messaging: farheenshah-khan@jph.medalliesdirect.net
  • Direct secure messaging: fkhan@snallc.adaptamed.direct-ci.com
  • Direct secure messaging: fkhan@snallcclmt.adaptamed.direct-ci.com
  • Direct secure messaging: fkhan@snallcmozart.adaptamed.direct-ci.com
  • Direct secure messaging: fshahkhan@direct-address.org

Organizations & group practices 8

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 10

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1164644480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597315",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606597315",
            "telephone_number": "773-423-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "773-232-2300",
            "fax_number": "773-232-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-KHAN",
        "first_name": "FARHEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-048429",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036121430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fkhan@SNALLC.adaptamed.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1540 W Chicago Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606425236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.