NPIMap

Individual provider Active NPI

Alam A Khan, M.D.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1316946288
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036085778 Issued in IL
Practice address
2800 N. Sheridan Rd
Suite 400
Chicago, IL 60657-6157
Phone
(773) 472-5803
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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 036085778 IL Primary

Addresses

Primary practice location

2800 N. Sheridan Rd
Suite 400
Chicago, IL 60657-6157

Mailing address

2800 N Sheridan Rd
Suite 400
Chicago, IL 60657-6157
Phone (773) 472-5803

Other identifiers 2

IdentifierTypeStateIssuer
036085778MedicaidIL
110091993OtherMEDICARE RAILROAD

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
I20040901000297 IL Practitioner - Internal Medicine 9931174026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presence Healthcare ServicesGroup PAC ID 2860396769, 69 clinicians
Resilience Healthcare - Lakefront Medical Associates LLCGroup PAC ID 5991046468, 37 clinicians

Practice addresses (Care Compare)

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000

2900 N Lake Shore Dr
Chicago, IL 60657-5640

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-2328

Hospital & facility affiliations

  • Americhoice Health Care, Inc Home health agency, Northbrook, IL, CCN 148214
  • Hands and Heart Home Health, Inc Home health agency, Wilmette, IL, CCN 148220
  • Alpha Home Health, Inc Home health agency, Chicago, IL, CCN 148094
  • Excellent Home Health Care, Inc Home health agency, Skokie, IL, CCN 147751
  • Unity Hospice of Chicagoland, LLC Hospice, Chicago, IL, CCN 141551
  • Lifechoice Hospice and Palliative Care Hospice, Palatine, IL, CCN 141699
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Amita Health Resurrection Medical Center Hospital, Chicago, IL, CCN 140117
  • Chalet Living & Rehab Nursing home, Chicago, IL, CCN 145670
  • Birchwood Plaza Nursing home, Chicago, IL, CCN 145532
  • Warren Barr Lincoln Park Nursing home, Chicago, IL, CCN 145875
  • Dobson Plaza Nursing home, Evanston, IL, CCN 145122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Aug 1, 2023 Accepting new patients
Presence Healthcare Services Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jul 1, 2023 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Medicose Home Healthcare SVS Inc Past Accepting new patients
Presence Healthcare Services Internal Medicine Past Accepting new patients
VHS Acquisition Subsidiary Number 3 Inc Internal Medicine Past Accepting new patients

Locations

4646 N Marine Dr
Ste A4600
Chicago, IL 60640
Phone (773) 564-7400

62311 Collection Ctr Dr
Chicago, IL 60693

2800 N Sheridan Rd
Ste 60
Chicago, IL 60657
Phone (773) 525-8846

331 W Surf St
Ste 711
Chicago, IL 60657
Phone (312) 738-0055

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

2800 N Sheridan Rd
Ste 400
Chicago, IL 60657
Phone (773) 472-5803

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Interoperability endpoints

  • Direct secure messaging: alam.khan.1@18552.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGJBA/Endpoint/DCGJBA

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Chalet Living & RehabChicago, IL, CCN 145670 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 6, 2015
Nov 6, 2015

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1316946288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN RD",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576157",
            "telephone_number": "773-472-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N. SHERIDAN RD",
            "address_2": "SUITE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576157",
            "telephone_number": "773-472-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036085778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085778",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110091993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.