Active NPI
Shamroze Mohammed Khan
- Hospitalist Physician
- Concord, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 20A22478
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skhan277000@direct.northshore.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- John Muir Medical Center - Concord Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144825 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Swedish Covenant Management Services, Inc. | Internal Medicine | Current | 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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
Internal Medicine
-
- Medical Specialty Clinic/Center
- Oak Lawn, IL
- NPI 1912936014
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.