Active NPI
Wajid A Khan, M.D.
- Psychiatry Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036115038
- Practice address
- 200 N Hammes Ave
Suite 3
Joliet, IL 60435-6677 - Phone
- (815) 744-8253
- NPI assigned
- Oct 3, 2006
- Last updated
- Oct 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036115038 | IL | Primary |
Addresses
Primary practice location
200 N Hammes Ave
Suite 3
Joliet, IL 60435-6677
Mailing address
185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0991516762 | Other | IL | BCBS |
| 036115038 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
700 Ravinia
Orland Park, IL 60462-3700
Phone (815) 744-8253
9335 Calumet Ave
Suite D
Munster, IN 46321-4176
Phone (219) 836-9200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Health Services LTD | Psychiatry | Current | Accepting new patients |
| Silver Oaks Behavioral, LLC | Current | Accepting new patients | |
| Mid-America Mental Health LLC | Psychiatry | Current | Accepting new patients |
Locations
10181 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 444-7003
200 N Hammes Ave
Joliet, IL 60435
Phone (815) 741-0791
200 N Hammes Ave
Ste 3
Joliet, IL 60435
Phone (815) 744-8253
1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300
700 Ravinia Pl
Orland Park, IL 60462
Phone (708) 226-0010
9335 Calumet Ave
Ste D
Munster, IN 46321
Phone (219) 671-1298
402 Wall St
Ste 23
Valparaiso, IN 46383
Phone (219) 615-3136
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Joliet, IL
- NPI 1144522244
-
dba Silver Oaks Behavioral Hospital
- Psychiatric Hospital
- New Lenox, IL
- NPI 1376020479
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1629162359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PENNY AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181454",
"telephone_number": "847-836-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N HAMMES AVE",
"address_2": "SUITE 3",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356677",
"telephone_number": "815-744-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "WAJID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036115038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0991516762",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115038",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.