Active NPI
Maliha Khan, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.135905
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657-5640 - Phone
- (630) 276-6809
- NPI assigned
- Jul 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 036135905 | IL | |
| Internal Medicine Physician | 207R00000X | 036.135905 | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Mailing address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (630) 276-6809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250927000064 | AL | Practitioner - Internal Medicine | 4385921949 | Reassigns benefits to 1 organization |
| I20260203003845 | IL | Practitioner - Internal Medicine | 4385921949 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deaconess Illinois Specialty Clinic, Inc.
Practice addresses (Care Compare)
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-3831
Hospital & facility affiliations
- Red Bud Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.135905 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Ich ER Services of Alabama, LLC | Current | Accepting new patients | |
| Deaconess Illinois Clinic, Inc | Past | Accepting new patients |
Locations
2016 S Alabama Ave
Monroeville, AL 36460
Phone (251) 575-3111
13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- mkhan196521@directinfirmaryhealth.org
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Red Bud, IL
- NPI 1619693926
IL
-
- Interventional Cardiology Physician
- Saint Louis, MO
- NPI 1386351849
-
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Nurse Practitioner
- Mount Vernon, IL
- NPI 1497462964
-
- Family Medicine Physician
- Mount Vernon, IL
- NPI 1245956523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Red Bud, IL
- NPI 1407573132
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1487900379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "630-276-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "630-276-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MALIHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IL",
"license": "036135905",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.135905",
"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 Sep 10, 2026; 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.