Individual provider Active NPI

Raheel Khatri, D.M.D

  • General Practice Dentistry
  • Skokie, IL
National Provider Identifier
1376942383
Registry record updated Apr 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019032432 Issued in IL
Practice address
4709 Golf Rd Ste 1005
Skokie, IL 60076-1260
Phone
(847) 677-2404
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019032432 IL Primary

Addresses

Primary practice location

4709 Golf Rd Ste 1005
Skokie, IL 60076-1260

Mailing address

4709 Golf Rd Ste 1005
Skokie, IL 60076-1260
Phone (847) 677-2404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200421002256 IN Order and Referring Only - DentistPractitioner - Dentist 6608206339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019032432ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raheel a. Khatri, DMD, PLLC General Practice Current Accepting new patients

Locations

4709 Golf Rd
Ste 1005
Skokie, IL 60076
Phone (847) 677-2404

Interoperability endpoints

  • Direct secure messaging: raheel.khatri.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775865600000",
    "number": "1376942383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 1005",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761260",
            "telephone_number": "847-677-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD STE 1005",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761260",
            "telephone_number": "847-677-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "RAHEEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2026-04-11",
        "certification_date": "2026-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019032432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.