Naseeruddin Gulam Khan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036126888 Issued in IL

Practice address

5742 N Christiana Ave
Apt 1S
Chicago, IL 60659-4595

Phone

(773) 989-3344

Fax

(773) 989-8458

NPI assigned

Sep 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  Medicare reassignment NPD
• Mount Sinai Community Foundation

  • Rural Acute Care Hospital
  • Chicago, IL
  • NPI 1104858125
  NPD
• Mount Sinai Community Foundation

  dba Sinai Medical Group

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Illinois Center for Pain Control LLC

  dba The Vanguard Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Michigan City, IN
  • NPI 1437556941
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1659604304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5742 N CHRISTIANA AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594595",
            "telephone_number": "773-989-3344",
            "fax_number": "773-989-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5742 N CHRISTIANA AVE",
            "address_2": "APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594595",
            "telephone_number": "773-989-3344",
            "fax_number": "773-989-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "NASEERUDDIN",
        "middle_name": "GULAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-14",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036126888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126888",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nabeela Khan
• Nadia Khan, MD
• Nadia Khan, SFA
• Naimath A Khan, M.D.
• Narmeen Irfan Khan, MD
• Nasreen Khan, M.D
• Naveed Khan, MD
• Nayab Noshaba Khan
• Nazir A Khan, MD
• Nazish Khan, PA-C

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.