Individual provider Active NPI

Gowhar A Khan, MD

  • Rheumatology Physician
  • Aurora, IL
National Provider Identifier
1518917673
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036087821 Issued in IL
Practice address
1177 N Highland Ave
Aurora, IL 60506-2281
Phone
(630) 802-8644
Fax
(630) 801-7511
NPI assigned
May 11, 2006
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036087821 IL
Rheumatology Physician 207RR0500X 036087821 IL Primary

Addresses

Primary practice location

1177 N Highland Ave
Aurora, IL 60506-2281

Mailing address

2309 Bilter Rd
Aurora, IL 60502-8714
Phone (630) 802-8644

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
I20040927000580 IL Practitioner - Internal MedicinePractitioner - Rheumatology 0345219499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1177 N Highland Ave
Suite 201
Aurora, IL 60506-2207
Phone (630) 801-7505

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036087821ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Medical Systems Inc Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
F G Obregon & Associates SC Internal Medicine Past Accepting new patients
Fox Valley Physician Services SC Internal Medicine Past Accepting new patients
Multispecialty Medical Center LTD Past Accepting new patients

Locations

1177 N Highland Ave
Ste 201
Aurora, IL 60506
Phone (630) 801-7505

Organizations & group practices 5

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 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1518917673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 BILTER RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605028714",
            "telephone_number": "630-802-8644",
            "fax_number": "630-801-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N HIGHLAND AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605062281",
            "telephone_number": "630-802-8644",
            "fax_number": "630-801-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "GOWHAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036087821",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036087821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.