Individual provider Active NPI

Ali M Khan

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1710202999
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036138192 Issued in IL
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(888) 824-0200
NPI assigned
Mar 31, 2010
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 036138192 IL Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

150 Harvester Dr
Suite 300
Burr Ridge, IL 60527-5919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akhan178413@uchospital.direct-ci.com University of Chicago Physicians Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, IL, TN, MS, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20130716000861 CT Practitioner - Internal Medicine 7810137718 Reassigns benefits to 1 organization
I20181231000284 IL Practitioner - HospitalistPractitioner - Internal Medicine 7810137718 Reassigns benefits to 3 organizations
I20200826001717 TN Practitioner - Internal Medicine 7810137718 Reassigns benefits to 1 organization
I20201001000846 MS Practitioner - Internal Medicine 7810137718 Reassigns benefits to 1 organization
I20210826003793 AZ Practitioner - Internal Medicine 7810137718 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Feb 15, 2019 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Internal Medicine CurrentSince Jul 22, 2021 Accepting new patients
Oak Street Health Physicians Group, PC Internal Medicine CurrentSince Jun 24, 2019 Accepting new patients
Oak Street Health Physicians Group of Mississippi, LLC Internal Medicine CurrentSince Oct 5, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Feb 15, 2019 Accepting new patients
Erie Family Health Center Inc CurrentSince Jan 7, 2019 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jun 21, 2020 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Internal Medicine CurrentSince Jun 30, 2022 Accepting new patients
Erie Family Health Center, Inc CurrentSince Jan 7, 2019 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC Internal Medicine PastSince Jul 17, 2022 Accepting new patients

Locations

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

444 Foxon Rd
East Haven, CT 06513
Phone (203) 407-3500

456 25th Ave
Bellwood, IL 60104
Phone (708) 467-7254

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1504 S Albany Ave
Chicago, IL 60623

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-2056

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200

911 Ellis Ave
Jackson, MS 39209
Phone (601) 533-7016

3360 N Watkins St
Memphis, TN 38127
Phone (901) 353-4603

3889 Park Ave
Memphis, TN 38111
Phone (901) 401-7140

Interoperability endpoints

  • Direct secure messaging: akhan178413@uchospital.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1710202999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR",
            "address_2": "SUITE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "888-824-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ALI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-10-24",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036138192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan178413@uchospital.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "University of Chicago Physicians Group",
            "address_1": "5841 S Maryland Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606371443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.