Individual provider Active NPI

Haris Saleem Khan, DPM

  • Podiatrist
  • Elgin, IL
National Provider Identifier
1518595933
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.006036 Issued in IL
Practice address
1750 N Randall Rd
Elgin, IL 60123-7900
Phone
(847) 468-1994
NPI assigned
Mar 31, 2020
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.006036 IL Primary

Addresses

Primary practice location

1750 N Randall Rd
Elgin, IL 60123-7900

Mailing address

5212 Harmswood Ter
Skokie, IL 60077-1110
Phone (847) 431-5212

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927002568 IL Practitioner - Podiatry 3274987045 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Mobile Wound Care LLCGroup PAC ID 4183110646, 2 clinicians
Advanced Foot and Ankle Specialists SCGroup PAC ID 6204000300, 3 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 160
Elgin, IL 60123-7902
Phone (847) 468-1994

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot & Ankle Specialists SC CurrentSince Jan 1, 2024 Accepting new patients
Advanced Mobile Wound Care LLC CurrentSince Sep 30, 2025 Accepting new patients
Metro MG LLC CurrentSince Oct 1, 2025 Accepting new patients
Breck Tiernan PC Past Accepting new patients

Locations

3115 N Harlem Ave
Ste 200
Chicago, IL 60634
Phone (773) 637-6070

1750 N Randall Rd
Ste 160
Elgin, IL 60123
Phone (847) 370-6712

800 Biesterfield Rd
Ste 3004
Elk Grove Vlg, IL 60007
Phone (847) 352-0200

10370 Haligus Rd
Ste 109
Huntley, IL 60142
Phone (815) 356-0500

Interoperability endpoints

  • Direct secure messaging: haris.khan.1@24710.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24710/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1518595933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 HARMSWOOD TER",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771110",
            "telephone_number": "847-431-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "847-468-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "HARIS",
        "middle_name": "SALEEM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.006036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.