Anna Khomenko, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

125084809 Issued in IL

Practice address

2427 W Haddon Ave Unit 2
Chicago, IL 60622-2946

Phone

(847) 636-6119

NPI assigned

Mar 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1407607179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2427 W HADDON AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222946",
            "telephone_number": "847-636-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 W HADDON AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222946",
            "telephone_number": "847-636-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOMENKO",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125084809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alia Khizer
• Andriy Khlopas, NP
• Marjorie J Kho, DDS
• Amer Mohammad O. Khojah, M.D.
• Artemis Khojasteh, M.D.
• Nabila Reem Khondakar
• Shirley Shui-Lei Khong
• Jacqueline Alexandria Khorasanee, M.D.
• Arjang Khorasani, MD
• Zahra Khorrami, DDS

• Surgery Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.