Individual provider Active NPI

Shamroze Mohammed Khan

  • Hospitalist Physician
  • Concord, CA
National Provider Identifier
1376936856
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
20A22478 Issued in CA
Practice address
2700 Grant St Ste 200
Concord, CA 94520-2270
Phone
(925) 947-3393
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036144825 IL
Hospitalist Physician 208M00000X 036144825 IL
Hospitalist Physician 208M00000X 20A22478 CA Primary

Addresses

Primary practice location

2700 Grant St Ste 200
Concord, CA 94520-2270

Mailing address

1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other practice location 1

5145 N California Ave
Attn: GME Office
Chicago, IL 60625
Phone (773) 989-3808

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skhan277000@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180725000346 IL Practitioner - Hospitalist 7214284066 Reassigns benefits to 3 organizations
I20240725001977 CA Practitioner - Hospitalist 7214284066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

2700 Grant St
Suite 200
Concord, CA 94520-2270
Phone (925) 674-0500

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144825ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Jul 29, 2024 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Feb 17, 2023 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Endeavor Health Medical Group CurrentSince Feb 17, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 1, 2018 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 1, 2018 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Aug 1, 2018 Accepting new patients
Swedish Covenant Management Services, Inc. Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2700 Grant St
Ste 200
Concord, CA 94520
Phone (925) 674-2609

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

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

4901 W 79th St
Burbank, IL 60459
Phone (708) 425-9321

9532 Eagle Way
Chicago, IL 60678

29373 Network Pl
Chicago, IL 60673

5145 N California Ave
Ofc
Chicago, IL 60625
Phone (773) 989-3803

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

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

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

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

Organizations & group practices 8

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1376936856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GRANT ST STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202270",
            "telephone_number": "925-947-3393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5145 N California Ave",
            "address_2": "Attn: GME Office",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60625",
            "country_code": "US",
            "telephone_number": "773-989-3808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SHAMROZE",
        "middle_name": "MOHAMMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036144825",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036144825",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A22478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skhan277000@direct.northshore.org",
            "affiliation": "N",
            "address_1": "5145 N California Ave",
            "address_2": "Attn: GME Office",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.