Khatija Syeda Madani, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011936 Issued in IL

Practice address

2010 S Arlington Heights Rd Ste 121
Arlington Heights, IL 60005-4100

Phone

(847) 621-0633

Fax

(847) 621-0640

NPI assigned

Nov 16, 2024

Last updated

Nov 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McNelis Family Eyecare LTD

  • Optometrist
  • Arlington Heights, IL
  • NPI 1407971252
  Medicare reassignment NPD
• Luxottica of America Inc.

  • Point of Service
  • Mason, OH
  • NPI 1831244953

  IL

  Medicare reassignment

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1508681446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD STE 121",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054100",
            "telephone_number": "847-621-0633",
            "fax_number": "847-621-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD STE 121",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054100",
            "telephone_number": "847-621-0633",
            "fax_number": "847-621-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANI",
        "first_name": "KHATIJA",
        "middle_name": "SYEDA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynanne Macdonald, OTR/L
• Erika Macias
• Sarah Anne Macklin, DPT
• George Iurie Macrinici, M.D.
• Kelsey Marie Maczko, DMD
• Ashley Madden
• Julie Madlangbayan, APN
• Ashley Magaha, RPN
• Martha J. Magana, AGACNP-BC
• Michelle Magazin, MOT, OTR/L

• Optometrist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.