Individual provider Active NPI

Salman Ali Khan, MD

  • Gastroenterology Physician
  • McHenry, IL
National Provider Identifier
1306253349
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036168575 Issued in IL
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

Updated by the provider on May 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20210114001011 IA Practitioner - Gastroenterology 5890091599 Reassigns benefits to 1 organization
I20240705002167 IL Practitioner - GastroenterologyPractitioner - Internal Medicine 5890091599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

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 Hospital, McHenry, IL, CCN 140116
  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091
  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy86
Upper gastrointestinal (GI) endoscopy for acid reflux167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014016485MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic Gastroenterology CurrentSince Oct 25, 2023 Accepting new patients
Alegent Creighton Clinic CurrentSince Oct 25, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince May 1, 2024 Accepting new patients
Ucm Medical Group Sub, LLC CurrentSince Apr 29, 2025 Accepting new patients
Carle Health Care Incorporated Gastroenterology CurrentSince Jul 1, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.