NPIMap

Individual provider Active NPI

Krishdeep Khosla, MD

  • Internal Medicine Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1306899570
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-099607 Issued in IL
Practice address
1 S 376 Summit Ave
Court C Unit 4-B
Oakbrook Terrace, IL 60181
Phone
(773) 257-6770
NPI assigned
May 18, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-099607 IL Primary

Addresses

Primary practice location

1 S 376 Summit Ave
Court C Unit 4-B
Oakbrook Terrace, IL 60181

Mailing address

8625 Timber Ridge Dr
Burr Ridge, IL 60527-5694
Phone (630) 953-9009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krishdeepkhosla@direct.practicefusion.com Health Information Exchange (HIE)

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
I20040309000918 IL Practitioner - Internal Medicine 7911895131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 S 376 Summit Ave
Court C Unit 4 B
Oakbrook Terrace, IL 60181-2226
Phone (630) 953-9009

5339 Hazel Tine LN
Dublin, CA 94568

8625 Timber Ridge Dr
Burr Ridge, IL 60527-5694

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.38 of 100Reported as individual
Quality
72.42
Improvement activities
40
Cost
71.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099607ILMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: krishdeepkhosla@direct.practicefusion.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Complete Care at the BoulevardChicago, IL, CCN 145885 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2005
Feb 16, 2026
Sanctuary HospiceWestchester, IL, CCN 141648 Hospice Contracted Managing Employee Jan 6, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1306899570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 TIMBER RIDGE DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275694",
            "telephone_number": "630-953-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S 376 SUMMIT AVE",
            "address_2": "COURT C UNIT 4-B",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "773-257-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSLA",
        "first_name": "KRISHDEEP",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-099607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krishdeepkhosla@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "krishdeepkhosla@direct.practicefusion.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 S 376 Summit Ave",
            "address_2": "Court C Unit 4-B",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.