NPIMap

Individual provider Active NPI

Baasma Khan, DO

  • Internal Medicine Physician
  • Lititz, PA
National Provider Identifier
1497495121
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.176489 Issued in IL
Practice address
1500 Highlands Dr
Lititz, PA 17543-7694
Phone
(717) 625-5000
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.176489 IL Primary

Addresses

Primary practice location

1500 Highlands Dr
Lititz, PA 17543-7694

Mailing address

3809 Gladstone Dr
Naperville, IL 60565-1109

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250926003493 IL Practitioner - Internal Medicine 7113422395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N M Khan M D S CGroup PAC ID 9739273640, 3 clinicians

Practice addresses (Care Compare)

13011 S 104TH Ave
Suite 203
Palos Park, IL 60464-1512
Phone (708) 671-1800

Hospital & facility affiliations

  • Safe Life Home Health Care, LLC Home health agency, Lombard, IL, CCN 148319
  • Providence at Home Home health agency, Tinley Park, IL, CCN 147559
  • Crescent Home Healthcare, Inc Home health agency, Oakbrook Terrace, IL, CCN 147990
  • Capital Hospice & Palliative Care LLC Hospice, Oakbrook Terrace, IL, CCN 141661
  • Providence Hospice Hospice, Homer Glen, IL, CCN 141609
  • Palos Community Hospital Hospital, Palos Heights, IL, CCN 140062
  • Advocate Christ Hospital & Medical Center Hospital, Oak Lawn, IL, CCN 140208
  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.176489ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B M Khan DO PC Internal Medicine Current Accepting new patients
N M Khan M D S C CurrentSince Sep 1, 2025 Accepting new patients

Locations

1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

13011 S 104th Ave
Ste 203
Palos Park, IL 60464
Phone (708) 923-7900

515 N Main St
Sandwich, IL 60548
Phone (815) 786-8426

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1497495121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 GLADSTONE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HIGHLANDS DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437694",
            "telephone_number": "717-625-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "BAASMA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.176489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.