Sameer Khan, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016005804 Issued in IL

Practice address

6326 Cermak Rd
Berwyn, IL 60402-2304

Phone

(708) 303-9234

Fax

(773) 729-2074

NPI assigned

Aug 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrated Wellness Consultants LLC

  • Internal Medicine Physician
  • Aurora, IL
  • NPI 1508677964
  Medicare reassignment NPD
• Quality Podiatry Group, LTD

  • Podiatrist
  • Skokie, IL
  • NPI 1760585814

  Foot & Ankle Surgery

  Medicare reassignment NPD
• PMR Illinois Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1770038671

  IL

  Medicare reassignment NPD
• Community Home Physicians, LLC

  • Physical Medicine & Rehabilitation Physician
  • Oakbrook Terrace, IL
  • NPI 1568909505
  Medicare reassignment
• Jencare Neighborhood Medical Center Berwyn, LLC

  • Specialist
  • Berwyn, IL
  • NPI 1811230014
  NPD

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1427467703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022304",
            "telephone_number": "708-303-9234",
            "fax_number": "773-729-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022304",
            "telephone_number": "708-303-9234",
            "fax_number": "773-729-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "NY",
            "postal_code": "105502026",
            "country_code": "US",
            "telephone_number": "914-361-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Lyndale Ave S Ste 130",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554233398",
            "country_code": "US",
            "telephone_number": "612-788-8778",
            "fax_number": "612-869-3473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005804",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "R93661",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corita Key
• Khalaf H Khalifeh, D.C
• Basmah Khalil, M.D.
• Mahamid Ali Khan, DMD
• Muhammad Taimur Khan, BDS, MPH, MS
• Syed J Khan, MD
• Sharad K Khandelwal, MD
• Adam W Kielbasa, PHARMD.
• Jane Kim, RN
• Jisoo Kim

• Foot & Ankle Surgery Podiatrist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.