Active NPI
Ella Khvat, M.D.
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
National Provider Identifier
1477655926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Practice address
- 1401 S California Ave
Chicago, IL 60608-1858 - Phone
- (773) 522-2010
- Fax
- (773) 522-1177
- NPI assigned
- Sep 4, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | IL | Primary |
Addresses
Primary practice location
1401 S California Ave
Chicago, IL 60608-1858
Mailing address
111 Acacia Dr
Unit 705
Indianhead Park, IL 60525-4487
Phone (708) 246-6021
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 |
|---|---|---|---|
| 036-066917 | IL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Infectious Disease Associates LTD. | Past | Accepting new patients | |
| Michael J. Gainer, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Chicago, IL
- NPI 1346251741
-
dba Gainer Psychological Associates
- Clinical Psychologist
- Chicago, IL
- NPI 1689891830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477655926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ACACIA DR",
"address_2": "UNIT 705",
"city": "INDIANHEAD PARK",
"state": "IL",
"postal_code": "605254487",
"telephone_number": "708-246-6021",
"fax_number": "708-246-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081858",
"telephone_number": "773-522-2010",
"fax_number": "773-522-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHVAT",
"first_name": "ELLA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.