Individual provider Active NPI

Raffay Khan, MD

  • Clinical Cardiac Electrophysiology Physician
  • Schaumburg, IL
National Provider Identifier
1194052829
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
036143777 Issued in IL
Practice address
804 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4776
Phone
(847) 605-9500
Fax
(847) 605-8700
NPI assigned
Nov 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 036143777 IL Primary

Addresses

Primary practice location

804 E Woodfield Rd Ste 300
Schaumburg, IL 60173-4776

Mailing address

808 E Woodfield Rd Ste 100
Schaumburg, IL 60173-4836
Phone (847) 605-0030

Other practice location 1

7035 North Ave
Oak Park, IL 60302-1015
Phone (708) 680-3800

Other identifiers 2

IdentifierTypeStateIssuer
036143777MedicaidIL
F400402524OtherILMEDICARE PIN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814002759 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3476683657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chicago Cardiology Institute SCGroup PAC ID 6103983176, 23 clinicians

Practice addresses (Care Compare)

804 E Woodfield Rd
Suite 300
Schaumburg, IL 60173-4776
Phone (847) 605-9500

Hospital & facility affiliations

  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258
  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • West Suburban Medical Center Hospital, Oak Park, IL, CCN 140049
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
95.99 of 100Reported as group
Quality
86.16
Promoting interoperability
100
Improvement activities
40
Cost
74.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036143777ILMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Cardiology Institute S.C. CurrentSince Jul 1, 2017 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Mohammad Waseem Kagzi MD LTD PastSince Jul 1, 2017 Accepting new patients
Dev Medical Associates SC PastSince Jun 1, 2006 Accepting new patients

Locations

7447 W Talcott Ave
Ste 525
Chicago, IL 60631
Phone (773) 763-1146

7035 North Ave
Oak Park, IL 60302
Phone (708) 358-1000

812 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

802 E Woodfield Rd
Ste 200
Schaumburg, IL 60173
Phone (847) 240-9500

804 E Woodfield Rd
Schaumburg, IL 60173
Phone (847) 605-0030

808 E Woodfield Rd
Ste 100
Schaumburg, IL 60173

804 E Woodfield Rd
Ste 300
Schaumburg, IL 60173
Phone (847) 605-0030

Interoperability endpoints

  • Direct secure messaging: rkhan128397@direct.luhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: raffay.khan.p1@direct.chicagocardiology.nextgenshare.com

Organizations & group practices 4

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 6

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194052829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WOODFIELD RD STE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734836",
            "telephone_number": "847-605-0030",
            "fax_number": "847-637-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E WOODFIELD RD STE 300",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734776",
            "telephone_number": "847-605-9500",
            "fax_number": "847-605-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7035 North Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603021015",
            "country_code": "US",
            "telephone_number": "708-680-3800",
            "fax_number": "708-777-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAFFAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IL",
            "license": "036143777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036143777",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "F400402524",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.