Samra Khalid, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MB09964800 Issued in NJ

Practice address

328 Linden Ave
Wilmette, IL 60091-2895

Phone

(847) 475-1224

NPI assigned

Mar 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Lake Erie College of Osteopathic Medicine, Erie, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Together Women'S Health Medical Group of Illinois, PLLCGroup PAC ID 8325195506, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samra.khalid.1@29023.direct.athenahealth.com

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.

• Together Women'S Health Medical Group of Illinois, PLLC

  • Specialist
  • Chicago, IL
  • NPI 1912161100
  Medicare reassignment Care Compare group NPD
• North Shore Associates in Gynecology and Obstetrics, S.C.

  • Specialist
  • Evanston, IL
  • NPI 1023139136
  Medicare reassignment NPD

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

• Endeavor Health Clinical Operations

  • General Acute Care Hospital
  • Evanston, IL
  • NPI 1184670549
  Care Compare affiliation

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1467795476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912895",
            "telephone_number": "847-475-1224",
            "fax_number": "847-475-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912895",
            "telephone_number": "847-475-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 E Apple St Ste 3800",
            "address_2": "Wright State University Dept of OB/GYN",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092902",
            "country_code": "US",
            "telephone_number": "937-208-2287",
            "fax_number": "937-641-2656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Lanidex Plz Ste 220",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070542707",
            "country_code": "US",
            "telephone_number": "973-831-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Compass Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261610",
            "country_code": "US",
            "telephone_number": "847-998-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALID",
        "first_name": "SAMRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09964800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Catherine Keane
• Harvey M Kelber, LCPC
• Caryn Kelley, LCSW
• Jeanne Kelso, LPC
• Bruce Delozier Kenamore, M.D.
• Victoriya Kharon, PHARMD
• Nicola Kiela, LCSW
• Anna Kielar, PHARMD
• Ai Mary Hoshino Kim, M.A.
• Jennifer Kim, PHARM.D

• Obstetrics & Gynecology Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.