Aqeel A Khan, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-111021 Issued in IL

Practice address

1 Tiffany PT
Suite 110
Bloomingdale, IL 60108-2936

Phone

(630) 924-1160

Fax

(630) 924-1162

NPI assigned

Mar 14, 2006

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, MI, IA3 enrollments

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 3

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advance Psychiatry and Counseling, SC.Group PAC ID 1456353929, 7 clinicians

The Guidance CenterGroup PAC ID 8022171735, 25 clinicians

Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Ghadeer Counseling Services PCGroup PAC ID 8729439914, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heart to Heart Hospice Corp Hospice, Schiller Park, IL, CCN 141729
• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akhan1462615@epic00.shdirect.org
• Direct secure messaging: akhan367518@xdr.hhchealthdirect.org

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.

• Advance Psychiatry & Counseling, SC.

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1669563789
  Medicare reassignment Care Compare group NPD Authorized official
• Ghadeer Counseling Services PC

  dba 247 DCT

  • Psychiatry Physician
  • Addison, IL
  • NPI 1770262693

  MI

  Medicare reassignment Care Compare group NPD
• The Guidance Center

  • Community/Behavioral Health Agency
  • Southgate, MI
  • NPI 1609947027
  Medicare reassignment Care Compare group NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901
  Medicare reassignment Care Compare group
• Comwell

  • Developmentally Disabled Services Day Training Agency
  • Red Bud, IL
  • NPI 1134199037
  Medicare reassignment NPD
• KSB Medical Group, Inc.

  • Family Medicine Physician
  • Dixon, IL
  • NPI 1073592119
  Medicare reassignment NPD
• Prime Healthcare Illinois Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Des Plaines, IL
  • NPI 1023837689
  Medicare reassignment NPD
• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  Medicare reassignment NPD
• Indiana Behavioral Innovations LLC

  • Psychiatric Hospital
  • Plainfield, IN
  • NPI 1922614825

  IL

  Medicare reassignment NPD
• Lakeland Hospitals at Niles and St Joseph, Inc

  dba Corewell Health Lakeland Hospitals

  • General Acute Care Hospital
  • Saint Joseph, MI
  • NPI 1134220031
  Medicare reassignment NPD
• Oxford Integrated Health Solutions PLLC

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1003151580

  MI

  Medicare reassignment NPD
• Green Meadows Urgent Care PLLC

  • Psychiatry Physician
  • Streamwood, IL
  • NPI 1164306817
  Medicare reassignment

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

• Heart to Heart Hospice Corp

  • Community Based Hospice Care Agency
  • Schiller Park, IL
  • NPI 1003519281
  Care Compare affiliation
• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198
  Care Compare affiliation
• Genesis Health System

  dba Genesis Medical Center Davenport

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1629046735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 5973",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601225973",
            "telephone_number": "630-924-1160",
            "fax_number": "630-924-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT",
            "address_2": "SUITE 110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082936",
            "telephone_number": "630-924-1160",
            "fax_number": "630-924-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Dog Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Dayville",
            "state": "CT",
            "postal_code": "062412106",
            "country_code": "US",
            "telephone_number": "860-779-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AQEEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "68740",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-111021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111021-4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael David Kelly, DC
• Kelsey Ruffing Counseling Inc
• Aleksander Kerzee-Stamatelopoulos, DPT
• Key Health Solutions Inc
• Carl M. Khalid, D.D.S.
• Husna Khan
• Shazia A Khan, MD
• Suheera Khan
• Henry Rok Kim, DMD
• Jennifer Ashley King

• Psychiatry Physician in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.

Verify at the official NPI Registry.