Raj Khurana, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036066235 Issued in IL

Practice address

324 W 64TH St
Suite 216
Chicago, IL 60621-3118

Phone

(773) 962-4183

Fax

(773) 962-4632

NPI assigned

Dec 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Practice

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Bernard HospitalGroup PAC ID 1759361579, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernard Hospital Hospital, Chicago, IL, CCN 140103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• St. Bernard Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811034291

  Corporate Director

  CMS ownership

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.

• St Bernard Hospital

  dba St. Bernard Anesthesia Group

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1629147210
  Medicare reassignment Care Compare group NPD
• Foundation for Outreach Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316350242
  Medicare reassignment
• St Bernard Hospital

  dba SBH Pathology Services

  • Clinical Pathology Physician
  • Chicago, IL
  • NPI 1467922005
  NPD
• St Bernard Hospital & Health Care Center

  dba Center for Better Aging Services

  • Geriatric Medicine (Family Medicine) Physician
  • Chicago, IL
  • NPI 1700635190
  NPD
• Dilipkumar Parikh MD

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1851427660
  NPD (past)
• Family Guidance Centers, Inc.

  • Methadone Clinic
  • Chicago, IL
  • NPI 1447847413
  NPD (past)

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

• St. Bernard Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811034291
  Care Compare affiliation

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730166455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 JESSICA LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625876",
            "telephone_number": "847-562-8606",
            "fax_number": "773-962-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W 64TH ST",
            "address_2": "SUITE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213118",
            "telephone_number": "773-962-4183",
            "fax_number": "773-962-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHURANA",
        "first_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036066235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036066235",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khudeira Medical Center, Inc
• Abdulkareem Khudeira, M.D.
• Neda Khudeira
• Edith Baradi Khurana, MD
• Neeta Khurana, O.D.
• Raj Khurana, M.D.
• Rajwinder Mangar Khurana, PSY.D.
• Sharon Pinto Khurana, PSYD
• Sonali Khurana
• Raja L Khuri, MD

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.