Individual provider Active NPI

Atika T Khan, MD

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1174713648
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036118521 Issued in IL
Practice address
5145 N California Ave Ste M331M274
Chicago, IL 60625-3661
Phone
(773) 878-8200
Fax
(773) 989-1734
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036118521 IL Primary
Internal Medicine Physician 207R00000X 036.118521 IL

Addresses

Primary practice location

5145 N California Ave Ste M331M274
Chicago, IL 60625-3661

Mailing address

2740 W Foster Ave Ste 310
Chicago, IL 60625-3547
Phone (773) 878-8200

Other practice location 1

1923 W Montrose Ave
Montrose Clinic
Chicago, IL 60613-1011
Phone (773) 281-8855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhan276998@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071005000004 IL Practitioner - HospitalistPractitioner - Internal Medicine 3971698929 Reassigns benefits to 2 organizations
I20181213002053 IN Practitioner - Internal Medicine 3971698929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

2739 W Foster Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

5140 N California
Suite G600
Chicago, IL 60625-3645
Phone (773) 989-3803

5140 N California Ave
Chicago, IL 60625-3645

5145 N California
Hosps Suite 331
Chicago, IL 60625-3661
Phone (847) 570-2280

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

Hospital & facility affiliations

  • Swedish Hospital Hospital, Chicago, IL, CCN 140114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118521ILMDInternal Medicine Physician
036118521ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Oct 1, 2014 Accepting new patients
24 On Physician Partners, PC Hospitalist CurrentSince Oct 17, 2018 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Lakefront Medical Associates LLC Internal Medicine Past Accepting new patients

Locations

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

2740 W Foster Ave
Ste 310
Chicago, IL 60625

9532 Eagle Way
Chicago, IL 60678

5145 N California Ave
Ste M331M274
Chicago, IL 60625

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

2740 W Foster Ave
Ste LL7
Chicago, IL 60625

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/684/brand/2/csg/43/fhir/r4
  • Direct secure messaging: akhan276998@direct.northshore.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1174713648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253547",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE STE M331M274",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253661",
            "telephone_number": "773-878-8200",
            "fax_number": "773-989-1734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 W Montrose Ave",
            "address_2": "MONTROSE CLINIC",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606131011",
            "country_code": "US",
            "telephone_number": "773-281-8855",
            "fax_number": "773-281-5867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ATIKA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036118521",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.118521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan276998@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5145 N California Ave Ste M331M274",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606253661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.