Individual provider Active NPI

Rashda Khan, M.D.

  • Internal Medicine Physician
  • Hickory Hills, IL
National Provider Identifier
1609935816
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-089979 Issued in IL
Practice address
7831 W 95TH St Ste H
Hickory Hills, IL 60457-2388
Phone
(847) 873-9367
Fax
(224) 246-8127
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-089979 IL Primary

Addresses

Primary practice location

7831 W 95TH St Ste H
Hickory Hills, IL 60457-2388

Mailing address

7831 W 95TH St Ste H
Hickory Hills, IL 60457-2388
Phone (847) 873-9367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-089979ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jfa Medical Group SC CurrentSince Jul 1, 2019 Accepting new patients
MBSS Imaging Masters, LLC CurrentSince Nov 1, 2021 Accepting new patients
Carepeople,Inc Past Accepting new patients
Accure Family Medical Center LLC PastSince Aug 1, 2022 Accepting new patients

Locations

732 S Pulaski Rd
Chicago, IL 60624
Phone (773) 533-1621

2500 S Highland Ave
Ste 330
Lombard, IL 60148
Phone (847) 749-3397

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1609935816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 W 95TH ST STE H",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572388",
            "telephone_number": "847-873-9367",
            "fax_number": "224-246-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 W 95TH ST STE H",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572388",
            "telephone_number": "847-873-9367",
            "fax_number": "224-246-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RASHDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-089979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

Verify at the official NPI Registry.