Khurram A Khan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036125183 Issued in IL

Practice address

3 Erie CT
Suite L-600
Oak Park, IL 60302-2519

Phone

(708) 763-6908

Fax

(708) 763-6655

NPI assigned

Aug 7, 2007

Last updated

Feb 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Internal MedicineAlso: Family Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roseland Community Hospital AssociationGroup PAC ID 8325936644, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Roseland Community Hospital Hospital, Chicago, IL, CCN 140068

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkhan@roselandhospital.medalliesdirect.net

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.

• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819

  Operational/Managerial Control

  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.

• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1306029889
  Medicare reassignment Care Compare group
• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819
  NPD

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

• Roseland Community Hospital Association

  dba Roseland Community Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819
  Care Compare affiliation

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1730370586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FOREST LN",
            "address_2": "17 FOREST LANE",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106173",
            "telephone_number": "915-227-1317",
            "fax_number": "847-304-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "address_2": "SUITE L-600",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-6908",
            "fax_number": "708-763-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "KHURRAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036125183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Cheyenne Kessinger, DPT
• Larry Allen Keyes, DPM
• Hope Keys
• Fauzia Khan-Alsikafi
• Humaira Khan, MD
• Mohammad Ajmal Khan, M.D.
• Rahila Khan
• Zainab Khan
• Sunankhem Kheperu
• Suhail A Khokhar, MD, MPH

• Internal Medicine Physician in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.