Active NPI
Brian Khan, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036167564
- Practice address
- 6084 S Archer Ave
Chicago, IL 60638-2747 - Phone
- (773) 355-2800
- NPI assigned
- Jul 25, 2016
- Last updated
- Jan 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A151096 | CA | |
| Internal Medicine Physician | 207R00000X | 036167564 | IL | Primary |
Addresses
Primary practice location
6084 S Archer Ave
Chicago, IL 60638-2747
Mailing address
6084 S Archer Ave
Chicago, IL 60638-2747
Phone (773) 355-2800
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | |
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, DC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
396 Remington Blvd
Bolingbrook, IL 60440-4311
6084 S Archer Ave
Chicago, IL 60638-2747
Phone (773) 229-8508
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A151096 | CA | MD | Internal Medicine Physician |
| 036167564 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Circle Medical Care of California | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Adventist Health Partners, Inc | Current | Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Internal Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Circle Medical Care Group PA | Current | Accepting new patients |
Locations
415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720
331 1St St a
San Francisco, CA 94105
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
1331 H St NW
Ste 200
Washington, DC 20005
Phone (202) 417-6576
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
6084 S Archer Ave
Chicago, IL 60638
Phone (708) 442-0221
21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803
1 Research Ct
Ste 450
Rockville, MD 20850
Phone (240) 403-4068
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289
Interoperability endpoints
- bkhan2489019@adventhealth.direct-ci.com
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134596091
Internal Medicine
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Internal Medicine
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1376646869
-
dba Glenoaks Anesthesia
- Anesthesiology Physician
- Glendale Heights, IL
- NPI 1912942012
-
dba Glendale Family Practice
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
dba Kaiser Permanente Capitol Hill Medical Center
- Health Maintenance Organization
- Washington, DC
- NPI 1093016933
-
dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1508968751
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1548713696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6084 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382747",
"telephone_number": "773-355-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6084 S ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382747",
"telephone_number": "773-355-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-25",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A151096",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036167564",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "100 W California Blvd",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911053010",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "100 W California Blvd",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911053010",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.