NPIMap

Individual provider Active NPI

Basharath Mohammed Ali Khan, MD

  • Hematology & Oncology Physician
  • Rolling Meadows, IL
National Provider Identifier
1205153053
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
036131390 Issued in IL
Practice address
2000 Golf Rd
Rolling Meadows, IL 60008-4216
Phone
(847) 871-1800
Fax
(847) 629-4937
NPI assigned
May 3, 2010
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 036131390 IL
Hematology & Oncology Physician 207RH0003X 036131390 IL Primary

Addresses

Primary practice location

2000 Golf Rd
Rolling Meadows, IL 60008-4216

Mailing address

2000 Golf Rd
Rolling Meadows, IL 60008-4216
Phone (847) 871-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address basharath.khan@ons.ikm.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
I20130719000195 IL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4981845849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology of Northshore Clinic PLLCGroup PAC ID 6709883382, 5 clinicians

Practice addresses (Care Compare)

2000 Golf Rd
Rolling Meadows, IL 60008-4216
Phone (847) 871-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Aug 5, 2016 Accepting new patients
Endeavor Health Medical Group Internal Medicine Current Accepting new patients
Oncology of Northshore Clinic PLLC Hematology & Oncology CurrentSince Jul 2, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5145 N California Ave
#331
Chicago, IL 60625
Phone (847) 570-1027

9532 Eagle Way
Chicago, IL 60678

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

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

2000 Golf Rd
Rolling Meadows, IL 60008
Phone (847) 871-1800

Interoperability endpoints

  • Direct secure messaging: basharath.khan@ons.ikm.direct-ci.com

Organizations & group practices 5

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 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": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1205153053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GOLF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084216",
            "telephone_number": "847-871-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GOLF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084216",
            "telephone_number": "847-871-1800",
            "fax_number": "847-629-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BASHARATH",
        "middle_name": "MOHAMMED ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036131390",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036131390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "basharath.khan@ons.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2000 Golf Rd",
            "city": "Rolling Meadows",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600084216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.