Individual provider Active NPI

Suhail H Khadra, MD

  • Single Specialty Group
  • Munster, IN
National Provider Identifier
1487603239
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Single Specialty GroupTaxonomy code 193400000X
License
01075981A Issued in IN
Practice address
10010 Donald Powers Dr
Munster, IN 46321
Phone
(219) 934-4210
Fax
(219) 934-4288
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Single Specialty Group 193400000X 01075981A IN Primary
Internal Medicine Physician 207R00000X 036066290 IL
Cardiovascular Disease Physician 207RC0000X 036066290 IL

Addresses

Primary practice location

10010 Donald Powers Dr
Munster, IN 46321

Mailing address

10010 Donald Powers Dr
Munster, IN 46321
Phone (219) 934-4210

Other practice location 1

3800 W 203rd St Ste 204
Olympia Fields, IL 60461-1185
Phone (708) 679-2670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20151120001270 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7911905500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants PCGroup PAC ID 0143218677, 10 clinicians

Practice addresses (Care Compare)

2001 US Hwy 41
Suite D
Schererville, IN 46375-2827
Phone (732) 335-6515

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (732) 335-6515

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01075981AINMDSingle Specialty Group

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Medical Research Foundation Inc Single Specialty Current Accepting new patients
Midwest Family Medical LLC Internal Medicine CurrentSince May 1, 2026 Accepting new patients
Preferred Open MRI LTD Single Specialty CurrentSince Jul 1, 2014 Accepting new patients
Cardiovascular Consultants PC Single Specialty CurrentSince Nov 3, 2015 Accepting new patients

Locations

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

9150 E 109th Ave
Ste 2D
Crown Point, IN 46307
Phone (219) 779-9721

519 N Halleck St
Demotte, IN 46310
Phone (219) 228-4200

2010 E Columbus Dr
Ste 10
East Chicago, IN 46312

7217 Indianapolis Blvd
Hammond, IN 46324
Phone (219) 554-4080

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

10010 Donald S Powers Dr
Munster, IN 46321
Phone (219) 934-4209

2001 US Highway 41
Ste D
Schererville, IN 46375

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA
  • Direct secure messaging: suhailkhadra@canwipc.allscriptsdirect.net

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 2

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1487603239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 DONALD POWERS DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-4210",
            "fax_number": "219-934-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 DONALD POWERS DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-934-4210",
            "fax_number": "219-934-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 W 203rd St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611185",
            "country_code": "US",
            "telephone_number": "708-679-2670",
            "fax_number": "708-503-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADRA",
        "first_name": "SUHAIL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "193400000X",
            "taxonomy_group": "",
            "desc": "Single Specialty",
            "state": "IN",
            "license": "01075981A",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036066290",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036066290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.