Active NPI
Star Medcare Group LLC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1548094360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STAR MEDCARE GROUP LLC
- Practice address
- 11101 S State St
Chicago, IL 60628-4206 - Phone
- (630) 730-2159
- NPI assigned
- Aug 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noman Khokher
- Title
- Adminstrator
- Phone
- (773) 672-3376
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X |
Addresses
Primary practice location
11101 S State St
Chicago, IL 60628-4206
Mailing address
7933 Oakview LN
Woodridge, IL 60517-3742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250317001126 | IL | Part B Supplier - Clinic/Group Practice | 8527580836 | Practice locations: Chicago, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Woodridge, IL
- NPI 1730306358
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737763200000",
"number": "1548094360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7933 OAKVIEW LN",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605173742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11101 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606284206",
"telephone_number": "630-730-2159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR MEDCARE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-26",
"last_updated": "2025-01-25",
"certification_date": "2025-01-25",
"status": "A",
"authorized_official_last_name": "KHOKHER",
"authorized_official_first_name": "NOMAN",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "773-672-3376"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.