Individual provider Active NPI

Abdul Q Khan, MD

  • Anesthesiology Physician
  • Milwaukee, WI
National Provider Identifier
1255315586
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34139-020 Issued in WI
Practice address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone
(414) 805-8700
Fax
(414) 259-1522
NPI assigned
Nov 30, 2005
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34139-020 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-8700

Other identifiers 3

IdentifierTypeStateIssuer
P00263184OtherRAIL ROAD MEDICARE
32374700MedicaidWI
1255315586MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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
I20090902000671 WI Practitioner - Anesthesiology 4880749449 Reassigns benefits to 6 organizations
I20130405000481 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880749449 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Milwaukee Anesthesia Associates SCGroup PAC ID 3577780683, 3 clinicians

Practice addresses (Care Compare)

15324 W Beloit Rd
Suite 300a
New Berlin, WI 53151-7447
Phone (414) 761-0981

850 Geneva Pkwy N
Lake Geneva, WI 53147-4562
Phone (414) 488-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34139-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Medical Specialist Inc Anesthesiology CurrentSince Jun 21, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 1, 2020 Accepting new patients
The Pain Center of Illinois Inc. CurrentSince Jun 21, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Roseland Community Hospital Association Anesthesiology CurrentSince Aug 19, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Illinois Back & Neck Institute,PLLC CurrentSince Jun 21, 2025 Accepting new patients
Windy City Anesthesia PC CurrentSince Aug 2, 2024 Accepting new patients
G & G Anesthesia LLC CurrentSince Oct 1, 2023 Accepting new patients
Encore Anesthesia Group LLC Anesthesiology CurrentSince Nov 19, 2020 Accepting new patients
Ear Nose and Throat Family Clinic of Wisconsin SC CurrentSince Jan 1, 2024 Accepting new patients
Metro Milwaukee Anesthesia Associates SC CurrentSince Oct 1, 2024 Accepting new patients
Roseland Community Hospital Association CurrentSince Aug 19, 2022 Accepting new patients
St Bernard Hospital Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Town Square Anesthesia LLC Anesthesiology CurrentSince May 6, 2024 Accepting new patients
Orthopaedic Hospital of Wisconsin, LLC CurrentSince Jul 1, 2023 Accepting new patients
Elite Anesthesia Providers, LTD Anesthesiology CurrentSince Jul 25, 2023 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC Anesthesiology CurrentSince Jan 13, 2018 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
St Bernard Hospital & Health Care Center CurrentSince Feb 2, 2020 Accepting new patients
Oak Brook Anesthesiologists, LTD. Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Windy City Anesthesia PC Anesthesiology CurrentSince Aug 2, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Stateline Anesthesiologists SC Anesthesiology Past Accepting new patients
Southeastern Wisconsin Anesthesiology, S.C. Anesthesiology Past Accepting new patients
Southeast Anesthesiology Anesthesiology Past Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations (25 of 42)

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

7937 S Harlem Ave
Burbank, IL 60459

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

2333 N Harlem Ave
Chicago, IL 60707
Phone (773) 637-1700

326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900

3412 W Fullerton Ave
Chicago, IL 60647
Phone (773) 235-8000

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

801 S Paulina St
#621
Chicago, IL 60612
Phone (312) 355-1661

900 Rand Rd
Des Plaines, IL 60016
Phone (847) 324-9676

999 E Touhy Ave
Ste 350
Des Plaines, IL 60018
Phone (224) 725-5850

4333 Main St
Downers Grove, IL 60515
Phone (630) 322-9451

300 W Butterfield Rd
Ste 102
Elmhurst, IL 60126

300 W Butterfield Rd
Ste 105
Elmhurst, IL 60126
Phone (630) 474-3735

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 462-8470

950 N York Rd
Ste 101
Hinsdale, IL 60521
Phone (312) 767-3244

1800 McDonough Rd
Ste 100
Hoffman Estates, IL 60192
Phone (630) 928-1103

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

250 W Kensington Rd
Ste 3B
Mount Prospect, IL 60056
Phone (262) 652-2887

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1255315586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-8700",
            "fax_number": "414-259-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-8700",
            "fax_number": "414-259-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ABDUL",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "34139-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00263184",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32374700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255315586",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.