NPIMap

Individual provider Active NPI

Khalid Gamal Hamed Mohammed Elharrif, MD

  • Nephrology Physician
  • Olympia Fields, IL
National Provider Identifier
1487150306
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036158450 Issued in IL
Practice address
3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Phone
(708) 898-0811
NPI assigned
Mar 30, 2018
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 A174728 CA
Nephrology Physician 207RN0300X 01088726A IN
Nephrology Physician 207RN0300X 036158450 IL Primary

Addresses

Primary practice location

3302 Vollmer Rd
Olympia Fields, IL 60461-1179

Mailing address

PO Box 3877
Joliet, IL 60434-3877
Phone (815) 714-7171

Other practice location 1

16540 Halsted St Ste A
Harvey, IL 60426-6111
Phone (708) 898-0811

Other practice location 2

757 E 81st Ave
Merrillville, IN 46410-5538
Phone (219) 472-0379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220623001705 IL Practitioner - Nephrology 1759639297 Reassigns benefits to 2 organizations
I20221027002333 IN Practitioner - Nephrology 1759639297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Center Olympia Fields LLCGroup PAC ID 2163640533, 7 clinicians

Practice addresses (Care Compare)

3302 Vollmer Rd
Olympia Fields, IL 60461-1179
Phone (708) 898-0811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174728CAMDInternal Medicine Physician
036158450ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Kidney Care Center Merrillville LLC Nephrology CurrentSince Nov 1, 2022 Accepting new patients
Kidney Care Center Olympia Fields LLC Nephrology CurrentSince Jul 1, 2022 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2315 E 93rd St
Ste 239
Chicago, IL 60617
Phone (219) 472-0379

16540 Halsted St
Ste A
Harvey, IL 60426
Phone (708) 898-0811

3302 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 864-2006

757 E 81st Ave
Merrillville, IN 46410
Phone (219) 472-0379

9305 Calumet Ave
Ste E2
Munster, IN 46321
Phone (219) 289-8147

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13093/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1487150306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3877",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604343877",
            "telephone_number": "815-714-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 VOLLMER RD",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611179",
            "telephone_number": "708-898-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16540 Halsted St Ste A",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "IL",
            "postal_code": "604266111",
            "country_code": "US",
            "telephone_number": "708-898-0811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "757 E 81st Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464105538",
            "country_code": "US",
            "telephone_number": "219-472-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELHARRIF",
        "first_name": "KHALID",
        "middle_name": "GAMAL HAMED MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A174728",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01088726A",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036158450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.