Active NPI
Muhammad Khan, MD
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-061521
- Practice address
- 3435 W Van Buren St
Chicago, IL 60624-3312 - Phone
- (773) 265-4571
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-061521 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036061521 | IL |
Addresses
Primary practice location
3435 W Van Buren St
Chicago, IL 60624-3312
Mailing address
34404 Eagle Way
Chicago, IL 60678-1344
Phone (630) 734-0200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061521 | Medicaid | IL | |
| 01059000A | Medicaid | IN | |
| 1497799035 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040622001236 | IL | Practitioner - Emergency Medicine | 1951386002 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-061521 | IL | MD | Emergency Medicine Physician |
| 036094564 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Alton-Griffin Emergency Group PC | Emergency Medicine | Current | Accepting new patients |
| Epss LLC- Lakeside Series | Emergency Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| Chicago Central Emergency Physicians, LLP | Emergency Medicine | Current | Accepting new patients |
| Aurora Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Exigence Medical of Olean, PLLC | Past | Accepting new patients | |
| Windy City Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Emergency Care Physician Services | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Specialists, II, S.C. | Emergency Medicine | Past | Accepting new patients |
| Midway Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Unimed, LTD | Past | Accepting new patients | |
| Indiana University Health Starke Hospital LLC | Emergency Medicine | Past | Accepting new patients |
| Cottage Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Room Care Providers, S.C. | Emergency Medicine | Past | Accepting new patients |
| Emergency Care Physician Services-Blue Island LTD | Emergency Medicine | Past | Accepting new patients |
| 3H Medical Group SC | Internal Medicine | Past | Accepting new patients |
Locations
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200
2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622
6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222
5025 N Paulina St
Chicago, IL 60640
Phone (773) 271-9040
225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 39
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.
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- Chicago, IL
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- Hospitalist Physician
- West Monroe, LA
- NPI 1558058917
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- Hospitalist Physician
- Greensboro, NC
- NPI 1619206133
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- Hospitalist Physician
- Louisville, KY
- NPI 1164751756
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- Hospitalist Physician
- Albuquerque, NM
- NPI 1215266754
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- Hospitalist Physician
- Saint Petersburg, FL
- NPI 1245569870
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- Hospitalist Physician
- Chattanooga, TN
- NPI 1356670947
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- Hospitalist Physician
- Indianapolis, IN
- NPI 1710216312
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- KND Development 59 LLCEpss LLC- Lakeside Series
Practice addresses (Care Compare)
2544 W Montrose Ave
Chicago, IL 60618-1537
Phone (773) 267-2622
850 W Irving Rd
Chicago, IL 60613-3077
Phone (773) 525-6780
Hospital & facility affiliations
- Thorek Memorial Hospital
- Methodist Hospital of Chicago
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1497799035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34404 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606781344",
"telephone_number": "630-734-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W VAN BUREN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606243312",
"telephone_number": "773-265-4571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MUHAMMAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-061521",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036061521",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061521",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01059000A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497799035",
"state": "MO"
}
],
"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 Nov 24, 2014; 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.