Individual provider Active NPI

Abdul Sami Khan, MD

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
National Provider Identifier
1417480419
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036163728 Issued in IL
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

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181026001816 AZ Practitioner - Diagnostic RadiologyPractitioner - Family Practice 1355605577 Reassigns benefits to 2 organizations
I20231116000303 IL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1355605577 Reassigns benefits to 4 organizations
I20260331000281 IN Practitioner - Diagnostic Radiology 1355605577 Reassigns benefits to 1 organization

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
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

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 Hospital, Chicago, IL, CCN 140088
  • Banner Thunderbird Medical Center Hospital, Glendale, AZ, CCN 030089
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094
  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01094670AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Imaging Services LLC CurrentSince Nov 1, 2023 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology Current Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Nov 14, 2023 Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 1, 2024 Accepting new patients
University of Chicago CurrentSince Aug 1, 2024 Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Banner Imaging Services LLC CurrentSince Oct 6, 2025 Accepting new patients
Associated Valley Radiologists LTD Diagnostic Radiology CurrentSince Dec 26, 2023 Accepting new patients
Banner Imaging Services LLC Diagnostic Radiology CurrentSince Nov 1, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.