Active NPI
Abdul Sami Khan, MD
- Vascular & Interventional Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036163728
- Practice address
- 5841 S Maryland Ave
Chicago, IL 60637-1443 - Phone
- (888) 824-0200
- NPI assigned
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 57089 | AZ | |
| Surgery Physician | 208600000X | R76006 | AZ | |
| Surgery Physician | 208600000X | 57089 | AZ | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01094670A | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036163728 | IL | Primary |
Addresses
Primary practice location
5841 S Maryland Ave
Chicago, IL 60637-1443
Mailing address
150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Other practice location 1
10855 Virginia St
Crown Point, IN 46307-0210
Phone (888) 824-0200
Other practice location 2
676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 695-4074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10855 Virginia St
Suite 1200
Crown Point, IN 46307-0210
Phone (888) 824-0200
1440 S Villa Ave
Villa Park, IL 60181-3405
Phone (623) 299-8743
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone (888) 824-0200
Hospital & facility affiliations
- The University of Chicago Medical Center
- Banner Thunderbird Medical Center
- Banner del E. Webb Medical Center
- Abrazo Arrowhead Hospital
- Abrazo West Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01094670A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Imaging Services LLC | Current | Accepting new patients | |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Sonoran Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| University of Chicago | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Banner Imaging Services LLC | Current | Accepting new patients | |
| Associated Valley Radiologists LTD | Diagnostic Radiology | Current | Accepting new patients |
| Banner Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations (25 of 44)
2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200
525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
1828 E Florence Blvd
Ste 118
Casa Grande, AZ 85122
Phone (520) 381-9729
1405 S Alma School Rd
Chandler, AZ 85286
Phone (480) 256-7000
1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
18275 N 59th Ave
Ste 168
Glendale, AZ 85308
1800 N Civic Sq
Ste 120
Goodyear, AZ 85395
Phone (928) 813-4624
13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200
13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715
6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
26900 N Lake Pleasant Pkwy
Peoria, AZ 85383
Phone (623) 524-8960
2222 E Highland Ave
Ste 106
Phoenix, AZ 85016
Phone (602) 483-6165
9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
Interoperability endpoints
- akhan323492@uchospital.direct-ci.com
Organizations & group practices 9
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.
-
- Vascular & Interventional Radiology Physician
- Mesa, AZ
- NPI 1033745708
Diagnostic Radiology, IL
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Diagnostic Radiology Physician
- Sun City, AZ
- NPI 1770139958
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1184470841
-
- Radiology Clinic/Center
- Phoenix, AZ
- NPI 1710733472
-
- Diagnostic Radiology Physician
- Casa Grande, AZ
- NPI 1841846920
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
- General Acute Care Hospital
- Goodyear, AZ
- NPI 1093791170
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1417480419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 HARVESTER DR STE 300",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S MARYLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606371443",
"telephone_number": "888-824-0200"
}
],
"practiceLocations": [
{
"address_1": "10855 Virginia St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463070210",
"country_code": "US",
"telephone_number": "888-824-0200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "676 N Saint Clair St Ste 800",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112978",
"country_code": "US",
"telephone_number": "312-695-4074",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "ABDUL",
"middle_name": "SAMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "57089",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "R76006",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "57089",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01094670A",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036163728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.