Active NPI
Mirza Wasi Khan, DO
- Psychiatry Physician
- Schaumburg, IL
National Provider Identifier
1700463114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036173644
- Practice address
- 1701 E Woodfield Rd Ste 1000
Schaumburg, IL 60173-5113 - Phone
- (847) 240-2211
- Fax
- (847) 240-2418
- NPI assigned
- Mar 24, 2021
- 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 | 036173644 | IL | Primary |
Addresses
Primary practice location
1701 E Woodfield Rd Ste 1000
Schaumburg, IL 60173-5113
Mailing address
1701 E Woodfield Rd Ste 1000
Schaumburg, IL 60173-5113
Phone (847) 240-2211
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
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 E Woodfield Rd
Suite 1000
Schaumburg, IL 60173-5113
Phone (847) 240-2211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pra Behavioral LLC | Psychiatry | Current | Accepting new patients |
Locations
1701 E Woodfield Rd
Ste 1000
Schaumburg, IL 60173
Phone (847) 240-2211
Interoperability endpoints
- mkhan729719@direct.hfhs.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1700463114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 E WOODFIELD RD STE 1000",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735113",
"telephone_number": "847-240-2211",
"fax_number": "847-240-2418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E WOODFIELD RD STE 1000",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735113",
"telephone_number": "847-240-2211",
"fax_number": "847-240-2418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MIRZA",
"middle_name": "WASI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036173644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.