Individual provider Active NPI

Muhammad Khan, MD

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1497799035
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-061521 Issued in IL
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

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036061521MedicaidIL
01059000AMedicaidIN
1497799035MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622001236 IL Practitioner - Emergency MedicinePractitioner - Internal 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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-061521ILMDEmergency Medicine Physician
036094564ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 4, 2017 Accepting new patients
Alton-Griffin Emergency Group PC Emergency Medicine CurrentSince Sep 4, 2021 Accepting new patients
Epss LLC- Lakeside Series Emergency Medicine CurrentSince Oct 9, 2023 Accepting new patients
KND Development 59 LLC CurrentSince Jan 1, 2022 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Dec 24, 2022 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Nov 4, 2017 Accepting new patients
KND Development 59, LLC CurrentSince Jan 1, 2022 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 PastSince Jul 25, 2019 Accepting new patients
Emergency Care Physician Services-Blue Island LTD Emergency Medicine Past Accepting new patients
3H Medical Group SC Internal Medicine PastSince Jan 23, 2024 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

  • FHIR API: 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.

View all 39

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 LLC 176 clinicians
Epss LLC- Lakeside Series 18 clinicians

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 Hospital, Chicago, IL, CCN 140115
  • Methodist Hospital of Chicago Hospital, Chicago, IL, CCN 140197

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

Verify at the official NPI Registry.