Active NPI
Basmah Khalil, M.D.
- Anesthesiology Physician
- Berwyn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036162726
- Practice address
- 3231 Euclid Ave Ste 402
Berwyn, IL 60402-3472 - Phone
- (708) 783-2226
- NPI assigned
- Jun 21, 2018
- Last updated
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anesthesiology Physician | 207L00000X | 125.072407 | IL | |
| Anesthesiology Physician | 207L00000X | 036162726 | IL | Primary |
Addresses
Primary practice location
3231 Euclid Ave Ste 402
Berwyn, IL 60402-3472
Mailing address
3600 Forbes Avenue
Forbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213
Phone (773) 702-1150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3231 Euclid Ave
FL 5
Berwyn, IL 60402-4603
Phone (708) 783-2000
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 88.97
- Promoting interoperability
- 98.2
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Anesthesiology | Current | Accepting new patients |
| Associated Anesthesiologists, S.C. | Anesthesiology | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| University of Chicago Medical Center | Past | Accepting new patients |
Locations
3231 Euclid Ave
Fl 5
Berwyn, IL 60402
Phone (708) 783-2000
125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
-
- Chronic Disease Hospital
- Chicago, IL
- NPI 1831401520
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MacNeal Hospital
- General Acute Care Hospital
- Berwyn, IL
- NPI 1295710580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1699269688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVENUE",
"address_2": "FORBES TOWER-PLAZA LEVEL SUITE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15213",
"telephone_number": "773-702-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3231 EUCLID AVE STE 402",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023472",
"telephone_number": "708-783-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHALIL",
"first_name": "BASMAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-21",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125.072407",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036162726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.