Individual provider Active NPI

Aslam M. Khan, MD, MM

  • Internal Medicine Physician
  • Northfield, IL
National Provider Identifier
1326229923
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036082868 Issued in IL
Practice address
356 Churchill St
Northfield, IL 60093-3221
Phone
(224) 558-1272
NPI assigned
Nov 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 036082868 IL Primary

Addresses

Primary practice location

356 Churchill St
Northfield, IL 60093-3221

Mailing address

356 Churchill St
Northfield, IL 60093-3221

Other practice location 1

1754 W Golf Rd
Mount Prospect, IL 60056-4071
Phone (224) 265-9010

Other identifiers 2

IdentifierTypeStateIssuer
GROUP # 1619414OtherBCBS GROUP# 1619414
036082868-1MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aslam.khan.1@380.direct.athenahealth.com

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
I20081024000627 IL Practitioner - Internal Medicine 2365500998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6500 W 65TH St
Chicago, IL 60638-4962
Phone (708) 496-1515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Apr 24, 2017 Accepting new patients
American Current Care of Illinois PC CurrentSince Mar 20, 2023 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Apr 24, 2017 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

6500 W 65th St
Chicago, IL 60638
Phone (708) 496-1515

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

10137 Grand Ave
Franklin Park, IL 60131
Phone (847) 451-7590

9977 Woods Dr
Skokie, IL 60077
Phone (847) 663-8540

Interoperability endpoints

  • Direct secure messaging: aslam.khan.1@380.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1326229923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 CHURCHILL ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 CHURCHILL ST",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933221",
            "telephone_number": "224-558-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1754 W Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600564071",
            "country_code": "US",
            "telephone_number": "224-265-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ASLAM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD, MM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-25",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036082868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP# 1619414",
            "identifier": "GROUP # 1619414",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082868-1",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aslam.khan.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1754 W Golf Rd",
            "city": "Mount Prospect",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600564071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.