Active NPI
Aftab A Khan, M.D.
- Internal Medicine Physician
- Morris, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-087831
- 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.
-
- Hospitalist Physician
- Carlinville, IL
- NPI 1013686302
IL, Internal Medicine
-
- Health Service Clinic/Center
- Morris, IL
- NPI 1376658658
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- Durable Medical Equipment & Medical Supplies
- Diamond, IL
- NPI 1164179479
-
- Durable Medical Equipment & Medical Supplies
- Ottawa, IL
- NPI 1629661590
-
- Durable Medical Equipment & Medical Supplies
- Joliet, IL
- NPI 1639762503
-
- Radiation Oncology Physician
- Morris, IL
- NPI 1720185150
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Morris, IL
- NPI 1104181932
-
- Home Health Agency
- Aurora, IL
- NPI 1912107517
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
Hospital
-
- Home Health Agency
- Morris, IL
- NPI 1265672307
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morris HospitalMidwest Inpatient Anderson Health IncFriedell Clinic, S. C.
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
- Panoptic Home Health
- At Home Quality Care - Morris
- Morris Hospital & Healthcare Centers
- Anderson Hospital
- Jackson Park Hospital
- Saint Joseph Medical Center
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050510000243 | IL | Practitioner - Internal Medicine | 3274511894 | Reassigns benefits to 6 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-087831 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Midwest Inpatient Anderson Health, Inc | Current | Accepting new patients | |
| Midwest Emergency Anderson Health, Inc | Current | Accepting new patients | |
| Macoupin Physician Services, PC | Internal Medicine | Current | Accepting new patients |
| Morris Hospital | Current | Accepting new patients | |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Carlinville Area Hospital Association | Current | Accepting new patients | |
| Morris Hospital | Current | Accepting new patients | |
| Friedell Clinic, S. C. | Internal Medicine | Current | Accepting new patients |
| Southside Primary Care Group SC | Internal Medicine | Past | Accepting new patients |
| Rajiv Kandala M D S C | Past | 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
- aftabkhan@jph.medalliesdirect.net
- aftab.khan@direct-address.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-087831 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-087831 | Medicaid | IL | |
| 03222998 | Other | IL | BCBS |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.