Individual provider Active NPI

Rahul Khapekar, D.O.

  • Family Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1316331481
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.144464 Issued in IL
Practice address
1775 Ballard Rd
Park Ridge, IL 60068
Phone
(847) 318-6020
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 036.144464 IL Primary

Addresses

Primary practice location

1775 Ballard Rd
Park Ridge, IL 60068

Mailing address

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-6020

Other practice location 1

836 W Wellington Ave
Chicago, IL 60657-5147
Phone (773) 975-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190410000056 IL Practitioner - Family Practice 4789989500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karas PCGroup PAC ID 8426272022, 6 clinicians

Practice addresses (Care Compare)

60 Orland Square Dr
Suite 101
Orland Park, IL 60462-6522
Phone (214) 289-8282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.144464ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Karas PC CurrentSince Apr 27, 2019 Accepting new patients
Karas PC CurrentSince Apr 27, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 13, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Apr 13, 2019 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

1725 E 95th St
Chicago, IL 60617
Phone (800) 238-9307

29373 Network Pl
Chicago, IL 60673

1441 Branding Ave
Ste 200
Downers Grove, IL 60515
Phone (630) 829-1084

2215 Sanders Rd
Ste 110N
Northbrook, IL 60062
Phone (248) 533-5743

600 W 22nd St
Oak Brook, IL 60523
Phone (630) 230-6505

600 W 22nd St
Ste 102
Oak Brook, IL 60523
Phone (708) 726-6588

60 Orland Square Dr
Ste 101
Orland Park, IL 60462
Phone (214) 289-8282

1775 Ballard Rd
Park Ridge, IL 60068
Phone (847) 318-6020

Interoperability endpoints

  • Direct secure messaging: rahul.khapekar.1@23223.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1316331481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 BALLARD RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681005",
            "telephone_number": "847-318-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 BALLARD RD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-318-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575147",
            "country_code": "US",
            "telephone_number": "773-975-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAPEKAR",
        "first_name": "RAHUL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.144464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.