Individual provider Active NPI

Roozehra Aisha Khan, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1437478245
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
20A11158 Issued in CA
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

Updated by the provider on Oct 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151211001130 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 2668607177 Reassigns benefits to 1 organization
I20220708001096 IL Practitioner - Internal Medicine 2668607177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Av Critical Care IncGroup PAC ID 2365706702, 12 clinicians

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

LicenseStateTypeSpecialty
20A11158CAMDInternal Medicine Physician
11158CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Physicians of Illinois LLC Critical Care Medicine CurrentSince Mar 1, 2023 Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Av Critical Care Inc Critical Care Medicine CurrentSince Oct 16, 2020 Accepting new patients
Central Dupage Physician Group CurrentSince Jun 1, 2022 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.