Individual provider Active NPI

Iftikhar Khan, MD

  • Emergency Medicine Physician
  • Woodstock, IL
National Provider Identifier
1679510986
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-112317 Issued in IL
Practice address
3707 Doty Rd
Woodstock, IL 60098-7530
Phone
(815) 338-6600
NPI assigned
Jun 2, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-112317 IL Primary
General Practice Physician 208D00000X 036112317 IL

Addresses

Primary practice location

3707 Doty Rd
Woodstock, IL 60098-7530

Mailing address

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 759-3100

Other practice location 1

519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone (847) 619-4000

Other practice location 2

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-4323

Other names 1

  • Dr. Iftikhar Khan Professional name

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
I20050414000708 IL Practitioner - Emergency MedicinePractitioner - General Practice 9931146586 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Loop Urgent Care LLCGroup PAC ID 8820176696, 2 clinicians

Practice addresses (Care Compare)

10350 Haligus Rd
Huntley, IL 60142-9545

1430 S Michigan Ave
C2
Chicago, IL 60605-2960
Phone (312) 663-3522

2701 Patriot Blvd
Glenview, IL 60026-8039
Phone (847) 998-9910

360 Station Dr
Crystal Lake, IL 60014-7978
Phone (815) 788-7500

4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.45
Improvement activities
40

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
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112317ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Loop Urgent Care, LLC Emergency Medicine CurrentSince Sep 20, 2015 Accepting new patients
Illinois Emergency Medicine Specialists, LLC CurrentSince Mar 1, 2023 Accepting new patients
Chicago Central Emergency Physicians, LLP Emergency Medicine CurrentSince Sep 8, 2019 Accepting new patients
Harvey Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 12, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 20, 2021 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 26, 2020 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Apr 20, 2021 Accepting new patients
Emerge Medstaffing LLC CurrentSince May 21, 2023 Accepting new patients
Aurora Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 2, 2024 Accepting new patients
Emerge Medstaffing LLC Emergency Medicine Current Accepting new patients
Epss LLC- Lakeside Series Emergency Medicine CurrentSince Oct 9, 2023 Accepting new patients
South Loop Primary and Urgent Care, LLC Current Accepting new patients
Illiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Illiana Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

500 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 312-5000

Dept 5777
Carol Stream, IL 60122

5025 N Paulina St
Chicago, IL 60640
Phone (773) 271-9040

30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064

20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

10400 Haligus Rd
Huntley, IL 60142
Phone (224) 654-0000

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679510986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-759-3100",
            "fax_number": "815-363-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 DOTY RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987530",
            "telephone_number": "815-338-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 S Roselle Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601932925",
            "country_code": "US",
            "telephone_number": "847-619-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4201 W Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "60050",
            "country_code": "US",
            "telephone_number": "815-759-4323",
            "fax_number": "815-363-9094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "IFTIKHAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-112317",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036112317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IFTIKHAR",
            "last_name": "KHAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodstock, IL

Sources for this page

Verify at the official NPI Registry.