Active NPI
Sargon Khamo, M.A.
- Audiologist-Hearing Aid Fitter
- Niles, IL
National Provider Identifier
1265465066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 147001080
- Practice address
- 8118 N Milwaukee Ave Ste 101
Niles, IL 60714-2836 - Phone
- (847) 696-7981
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 147001080 | IL | Primary |
Addresses
Primary practice location
8118 N Milwaukee Ave Ste 101
Niles, IL 60714-2836
Mailing address
1337 London LN
Glenview, IL 60025-2235
Phone (847) 544-6181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1337 London LN
Glenview, IL 60025-2235
Phone (847) 544-6181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001080 | IL | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SK Audiology Inc | Audiologist-Hearing Aid Fitter | Current | Accepting new patients |
| Medical Arts Unlimited Inc | Past | Accepting new patients | |
| Mas Audiology, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Zenith Sound Inc. | Past | Accepting new patients |
Locations
8118 N Milwaukee Ave
Ste 101
Niles, IL 60714
Phone (847) 318-7779
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BBBACA
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.
-
- Audiologist-Hearing Aid Fitter
- Niles, IL
- NPI 1275225336
-
- Audiologist-Hearing Aid Fitter
- Park Ridge, IL
- NPI 1366601445
-
dba Apex Rhinology & Cosmetic Surgery Center
- Otolaryngology Physician
- Libertyville, IL
- NPI 1285609990
-
- Durable Medical Equipment & Medical Supplies
- Park Ridge, IL
- NPI 1760661052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1265465066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1337 LONDON LN",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600252235",
"telephone_number": "847-544-6181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 N MILWAUKEE AVE STE 101",
"city": "NILES",
"state": "IL",
"postal_code": "607142836",
"telephone_number": "847-696-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAMO",
"first_name": "SARGON",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "IL",
"license": "147001080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.