Active NPI
Khalil Qato, MD
- Vascular Surgery Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 036.161375
- Practice address
- 747 N Rutledge St FL 4
Springfield, IL 62702-6700 - Phone
- (217) 545-8000
- NPI assigned
- Apr 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular Surgery Physician | 2086S0129X | 036.161375 | IL | Primary |
Addresses
Primary practice location
747 N Rutledge St FL 4
Springfield, IL 62702-6700
Mailing address
201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000
Other practice location 1
8626 Hotchkiss Dr
Frankfort, IL 60423-8597
Phone (708) 653-8011
Other practice location 2
700 Pasquinelli Dr
Westmont, IL 60559-1382
Phone (630) 323-8690
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- New York Medical College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372
700 Pasquinelli Dr
Westmont, IL 60559-1382
Phone (630) 323-8690
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 26 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.161375 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Makrismd LLC | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
747 N Rutledge St
Fl 4
Springfield, IL 62702
747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112
201 E Madison St
Ste 328
Springfield, IL 62702
17901 La Grange Rd
Ste 2000
Tinley Park, IL 60487
Phone (708) 327-8300
700 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 323-8690
Interoperability endpoints
- khalilqato@nslijmedgr.allscriptsdirect.net
- khalil.qato.p97@direct.aac.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- khalil.qato.p3@direct.aac.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
- Vascular & Interventional Radiology Physician
- Westmont, IL
- NPI 1134406291
-
dba SIU HealthCare
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
dba Mulcahy Pharmacy
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MacNeal Hospital
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
-
- General Acute Care Hospital
- Melrose Park, IL
- NPI 1831170232
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
dba Loyola University Medical Center Cancer Center
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1386087070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MADISON ST STE 328",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025131",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 N RUTLEDGE ST FL 4",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627026700",
"telephone_number": "217-545-8000"
}
],
"practiceLocations": [
{
"address_1": "8626 Hotchkiss Dr",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "IL",
"postal_code": "604238597",
"country_code": "US",
"telephone_number": "708-653-8011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Pasquinelli Dr",
"address_purpose": "LOCATION",
"city": "Westmont",
"state": "IL",
"postal_code": "605591382",
"country_code": "US",
"telephone_number": "630-323-8690",
"fax_number": "630-323-8657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QATO",
"first_name": "KHALIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036.161375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.