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
Last updated
Apr 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 1

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

Addresses

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

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

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 HospitalGroup PAC ID 1850372459, 115 clinicians
Midwest Inpatient Anderson Health IncGroup PAC ID 3072908474, 46 clinicians
Friedell Clinic, S. C.Group PAC ID 2567366164, 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

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

Locations

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

1625 E 75th St
Chicago, IL 60649
Phone (773) 947-2484

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

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

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

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

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

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

Organizations & group practices 12

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.

Hospital & facility affiliations 7

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.