Individual provider Active NPI

Aftab A Khan, M.D.

  • Internal Medicine Physician
  • Morris, IL
National Provider Identifier
1720073729
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-087831 Issued in IL
Practice address
425 E US Route 6
Morris, IL 60450
Phone
(815) 942-8080
Fax
(815) 941-4105
NPI assigned
Sep 15, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine, Family Practice, General Practice, Geriatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morris Hospital 115 clinicians
Midwest Inpatient Anderson Health Inc 46 clinicians
Friedell Clinic, S. C. 24 clinicians

Practice addresses (Care Compare)

101 S Prairie Ave
Dwight, IL 60420-1350
Phone (815) 584-3291

425 E US Route 6
Morris, IL 60450-9042
Phone (815) 942-8080

580 Sycamore St
Marseilles, IL 61341-1366
Phone (815) 795-2122

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7764

948 W US Route 6
Morris, IL 60450-8858
Phone (815) 942-5474

Hospital & facility affiliations

  • Resilience Home Health, LLC Home health agency, Aurora, IL, CCN 147998
  • Panoptic Home Health Home health agency, Morris, IL, CCN 148367
  • At Home Quality Care - Morris Home health agency, Morris, IL, CCN 147263
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Jackson Park Hospital Hospital, Chicago, IL, CCN 140177
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

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
I20050510000243 IL Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - General PracticePractitioner - Preventive MedicinePractitioner - Addiction MedicinePractitioner - Pain ManagementPractitioner - Geriatric MedicinePractitioner - Physical Medicine and RehabilitationPractitioner - Hospice/Palliative Care 3274511894 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087831ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlinville Area Hospital Association CurrentSince May 25, 2022 Accepting new patients
Morris Hospital CurrentSince Feb 6, 2017 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Macoupin Physician Services, PC Internal Medicine CurrentSince Feb 28, 2022 Accepting new patients
Morris Hospital CurrentSince Feb 6, 2017 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Carlinville Area Hospital Association CurrentSince May 25, 2022 Accepting new patients
Morris Hospital Current Accepting new patients
Friedell Clinic, S. C. Internal Medicine CurrentSince Oct 9, 2020 Accepting new patients
Southside Primary Care Group SC Internal Medicine PastSince Feb 11, 2024 Accepting new patients
Rajiv Kandala M D S C PastSince Jun 27, 2021 Accepting new patients

Locations

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

190 E Delaware Pl
Chicago, IL 60611
Phone (312) 944-0063

1625 E 75th St
Chicago, IL 60649
Phone (773) 947-2828

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

4 E North St
Coal City, IL 60416
Phone (815) 518-5755

1450 E Division St
Diamond, IL 60416
Phone (815) 364-3500

580 Sycamore St
Marseilles, IL 61341
Phone (815) 795-2122

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

603 W Mondamin St
Minooka, IL 60447
Phone (815) 521-1010

425 E US Route 6
Ste A
Morris, IL 60450
Phone (815) 513-5254

150 W High St
Morris, IL 60450
Phone (815) 942-2129

425 E US Route 6
Morris, IL 60450
Phone (815) 942-6511

725 School St
Ste A
Morris, IL 60450

948 W US Route 6
Morris, IL 60450
Phone (815) 744-5550

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

200 Corporate Blvd
Lafayette, LA 70508

Interoperability endpoints

  • Direct secure messaging: aftabkhan@jph.medalliesdirect.net
  • Direct secure messaging: aftab.khan@direct-address.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-087831 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

425 E US Route 6
Morris, IL 60450

Mailing address

725 School St Ste a
Morris, IL 60450-1207
Phone (815) 941-9124

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
036-087831MedicaidIL
03222998OtherILBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2020.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1720073729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SCHOOL ST STE A",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501207",
            "telephone_number": "815-941-9124",
            "fax_number": "815-941-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "815-942-8080",
            "fax_number": "815-941-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AFTAB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-087831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-087831",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "03222998",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.