Active NPI
Salman Ali Khan, MD
- Gastroenterology Physician
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036168575
- Practice address
- 4309 W Medical Center Dr Ste B301
McHenry, IL 60050-8439 - Phone
- (847) 535-6083
- Fax
- (847) 234-4336
- NPI assigned
- Jul 22, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD-47761 | IA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2014016485 | MO | |
| Gastroenterology Physician | 207RG0100X | 036168575 | IL | Primary |
Addresses
Primary practice location
4309 W Medical Center Dr Ste B301
McHenry, IL 60050-8439
Mailing address
4309 W Medical Center Dr Ste B301
McHenry, IL 60050-8439
Phone (847) 535-6083
Other practice location 1
2301 holmes street KC MO 64108
Truman Medical center Hospital hill
Kansas city, MO 64108
Phone (816) 404-4175
Other practice location 2
4301 W Markham St # 509
Little Rock, AR 72205-7101
Phone (501) 686-5785
Other practice location 3
1601 NW 114th St Ste 342
Clive, IA 50325-7036
Phone (515) 222-7600
Other practice location 4
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (888) 824-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4309 W Medical Ctr Dr
Suite B301
McHenry, IL 60050-8439
Phone (847) 802-7090
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Northwestern Medicine McHenry
- Carle Foundation Hospital
- Northwestern Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 86 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014016485 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Gastroenterology | Current | Accepting new patients |
| Alegent Creighton Clinic | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Ucm Medical Group Sub, LLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Gastroenterology | Current | Accepting new patients |
Locations
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
Dept 5777
Carol Stream, IL 60122
2771 Solution Ctr
Chicago, IL 60677
27702 Network Pl
Chicago, IL 60673
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4309 W Medical Center Dr
Ste B301
McHenry, IL 60050
Phone (847) 535-6083
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- skhanmd452730@carlehiedirect.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Gastroenterology
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Family Medicine Physician
- Harvey, IL
- NPI 1467442293
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Gastroenterology
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747180800000",
"number": "1306253349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE B301",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508439",
"telephone_number": "847-535-6083",
"fax_number": "847-234-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4309 W MEDICAL CENTER DR STE B301",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600508439",
"telephone_number": "847-535-6083",
"fax_number": "847-234-4336"
}
],
"practiceLocations": [
{
"address_1": "2301 holmes street KC MO 64108",
"address_2": "Truman Medical center Hospital hill",
"address_purpose": "LOCATION",
"city": "Kansas city",
"state": "MO",
"postal_code": "64108",
"country_code": "US",
"telephone_number": "816-404-4175",
"fax_number": "816-404-0003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 509",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-5785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 NW 114th St Ste 342",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503257036",
"country_code": "US",
"telephone_number": "515-222-7600",
"fax_number": "515-222-7601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Ingalls Dr",
"address_purpose": "LOCATION",
"city": "Harvey",
"state": "IL",
"postal_code": "604263558",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SALMAN ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-22",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "MD-47761",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2014016485",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036168575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.