Active NPI
Raffay Khan, MD
- Clinical Cardiac Electrophysiology Physician
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 036143777
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036143777 | Medicaid | IL | |
| F400402524 | Other | IL | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- Alexian Brothers Medical Center 1
- St Alexius Medical Center
- West Suburban Medical Center
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.99 of 100
- Quality
- 86.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 64 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036143777 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Cardiology Institute S.C. | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Mohammad Waseem Kagzi MD LTD | Past | Accepting new patients | |
| Dev Medical Associates SC | Past | 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
- rkhan128397@direct.luhs.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Cardiovascular Disease Physician
- Schaumburg, IL
- NPI 1568600286
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Cardiovascular Disease Physician
- Chicago, IL
- NPI 1467410407
-
- Sleep Medicine (Internal Medicine) Physician
- Gurnee, IL
- NPI 1750568960
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elk Grove Village, IL
- NPI 1265577191
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1811735228
-
- General Acute Care Hospital
- Hoffman Estates, IL
- NPI 1376644385
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.