Active NPI
Roozehra Aisha Khan, D.O.
- Critical Care Medicine (Internal Medicine) Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 20A11158
- Practice address
- 2020 Zonal Ave
Ird 723
Los Angeles, CA 90089-0121 - Phone
- (323) 226-7923
- NPI assigned
- May 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A11158 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 5101020524 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A11158 | CA | Primary |
Addresses
Primary practice location
2020 Zonal Ave
Ird 723
Los Angeles, CA 90089-0121
Mailing address
2020 Zonal Ave
Ird 723
Los Angeles, CA 90089-0121
Phone (323) 226-7923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Touro Un College of Osteopathic Medicine, Vallejo, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44215 15TH St W
Suite 105
Lancaster, CA 93534-5503
Phone (661) 948-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11158 | CA | MD | Internal Medicine Physician |
| 11158 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Physicians of Illinois LLC | Critical Care Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Internal Medicine | Current | Accepting new patients |
| Av Critical Care Inc | Critical Care Medicine | Current | Accepting new patients |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
44215 15th St W
Ste 115
Lancaster, CA 93534
Phone (661) 948-8000
44215 15th St W
Ste 105
Lancaster, CA 93534
Phone (661) 948-8000
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
Dept 5777
Carol Stream, IL 60122
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 4
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Lancaster, CA
- NPI 1144723800
-
dba Northwestern Medicine Regional Medical Group
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Aurora, IL
- NPI 1508134966
-
dba Northwestern Medicine Regional Medical Group
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lancaster, CA
- NPI 1366419517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1437478245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE",
"address_2": "IRD 723",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "323-226-7923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE",
"address_2": "IRD 723",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "323-226-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ROOZEHRA",
"middle_name": "AISHA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A11158",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "5101020524",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A11158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.