Individual provider Active NPI

Faisal Q. Khan, M.D.

  • Gastroenterology Physician
  • Geneva, IL
National Provider Identifier
1659396497
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036135009 Issued in IL
Practice address
302 Randall Rd.
Cadence Physician Group
Geneva, IL 60134-4220
Phone
(630) 262-7400
Fax
(630) 262-3760
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036135009 IL Primary
Internal Medicine Physician 207R00000X 4301081794 MI

Addresses

Primary practice location

302 Randall Rd.
Cadence Physician Group
Geneva, IL 60134-4220

Mailing address

302 Randall Rd
Cadence Physician Group
Geneva, IL 60134-4220
Phone (630) 262-7400

Other identifiers 6

IdentifierTypeStateIssuer
488406710MedicaidMI
F400137084OtherILMEDICARE (INDIVIDUAL)
FK081794OtherCOMMERCIAL-COMMERCIAL NUMBER
FK081794OtherCHAMPUS-CHAMPUS
206147OtherILMEDICARE (GROUP)
700H262220OtherBLUE CROSS-BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140522001188 IL Practitioner - Gastroenterology 4183627250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

302 Randall Rd
Suite 105
Geneva, IL 60134-4219
Phone (630) 352-5450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy85
Upper gastrointestinal (GI) endoscopy for acid reflux768

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036135009ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince May 21, 2014 Accepting new patients
Central Dupage Physician Group Internal Medicine CurrentSince May 21, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 14, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 14, 2023 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

Carol Stream, IL 60122
Phone (630) 933-3300

302 Randall Rd
Ste 105
Geneva, IL 60134
Phone (630) 232-0202

302 Randall Rd
Geneva, IL 60134
Phone (630) 208-6775

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

25 N Winfield Rd
Ste 420
Winfield, IL 60190
Phone (630) 262-7400

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1659396497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD",
            "address_2": "CADENCE PHYSICIAN GROUP",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-262-7400",
            "fax_number": "630-262-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 RANDALL RD.",
            "address_2": "CADENCE PHYSICIAN GROUP",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344220",
            "telephone_number": "630-262-7400",
            "fax_number": "630-262-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "FAISAL",
        "middle_name": "Q.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036135009",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301081794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488406710",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (INDIVIDUAL)",
            "identifier": "F400137084",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "FK081794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "FK081794",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (GROUP)",
            "identifier": "206147",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.