Active NPI
Deepak Khurana, M.D.
- Specialist
- Elgin, IL
National Provider Identifier
1427050327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036-057728
- Practice address
- 1710 N Randall Rd
Suite 280
Elgin, IL 60123-9400 - Phone
- (847) 931-7550
- Fax
- (847) 931-0876
- NPI assigned
- Aug 11, 2005
- Last updated
- Jan 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036-057728 | IL | Primary |
Addresses
Primary practice location
1710 N Randall Rd
Suite 280
Elgin, IL 60123-9400
Mailing address
1710 N Randall Rd
Suite 280
Elgin, IL 60123-9400
Phone (847) 931-7550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000663 | Other | IL | MEDICARE RAILROAD |
| 0360577282 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-057728 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1184630915
-
- Adult Health Nurse Practitioner
- Elgin, IL
- NPI 1275075061
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1427050327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 N RANDALL RD",
"address_2": "SUITE 280",
"city": "ELGIN",
"state": "IL",
"postal_code": "601239400",
"telephone_number": "847-931-7550",
"fax_number": "847-931-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 N RANDALL RD",
"address_2": "SUITE 280",
"city": "ELGIN",
"state": "IL",
"postal_code": "601239400",
"telephone_number": "847-931-7550",
"fax_number": "847-931-0876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHURANA",
"first_name": "DEEPAK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-057728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "100000663",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360577282",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.