NPIMap

Individual provider Active NPI

Ghori Siddique Rashio Khan, MD

  • Internal Medicine Physician
  • Dekalb, IL
National Provider Identifier
1326072042
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036099166 Issued in IL
Practice address
8 Health Services Dr
Ste 5
Dekalb, IL 60115-9647
Phone
(815) 754-0300
Fax
(815) 754-0400
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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 036099166 IL Primary

Addresses

Primary practice location

8 Health Services Dr
Ste 5
Dekalb, IL 60115-9647

Mailing address

8 Health Services Dr
Ste 5
Dekalb, IL 60115-9647
Phone (815) 754-0300

Other identifiers 1

IdentifierTypeStateIssuer
01932031OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040728000001 IL Practitioner - Internal Medicine 0042290454
I20240609000160 MN Practitioner - Internal Medicine 0042290454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 401
Duluth, MN 55802-2229
Phone (218) 249-7960

Hospital & facility affiliations

  • Aspirus St. Luke'S at Home - Home Care - Duluth Home health agency, Duluth, MN, CCN 247098
  • Aspirus St. Luke'S at Home-Hospice-Duluth Hospice, Duluth, MN, CCN 241524
  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St. Luke'S Hospital of Duluth Internal Medicine CurrentSince May 2, 2024 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince May 2, 2024 Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients
Kishwaukee Community Health Services Center Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960

1001 E Superior St
Ste 401
Duluth, MN 55802
Phone (218) 249-6523

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

Interoperability endpoints

  • Direct secure messaging: gkhan237473@direct.aspirus.org

Organizations & group practices 5

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1326072042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HEALTH SERVICES DR",
            "address_2": "STE 5",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159647",
            "telephone_number": "815-754-0300",
            "fax_number": "815-754-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HEALTH SERVICES DR",
            "address_2": "STE 5",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159647",
            "telephone_number": "815-754-0300",
            "fax_number": "815-754-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GHORI SIDDIQUE",
        "middle_name": "RASHIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036099166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01932031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.