Active NPI
Dana Al-Khaled, MD
- Obstetrics & Gynecology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036154057
- Practice address
- 250 E Superior St
Chicago, IL 60611-2914 - Phone
- (312) 926-2000
- Fax
- (312) 472-0141
- NPI assigned
- Jun 14, 2017
- Last updated
- Jul 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | BP10060901 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 125-073428 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 036154057 | IL | Primary |
Addresses
Primary practice location
250 E Superior St
Chicago, IL 60611-2914
Mailing address
250 E Superior St
Chicago, IL 60611-2914
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-073428 | IL | MD | Obstetrics & Gynecology Physician |
| BP10060901 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Erie Family Health Center, Inc | Current | Accepting new patients | |
| Erie Family Health Center Inc | Current | Accepting new patients | |
| Midwest Center for Women's Health Care, LTD. | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
1504 S Albany Ave
Chicago, IL 60623
1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392
1701 W Superior St
Fl 2
Chicago, IL 60622
Phone (323) 361-2122
1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-2056
250 E Superior St
#32304
Chicago, IL 60611
Phone (312) 472-3660
737 N Michigan Ave
Ste 600
Chicago, IL 60611
Phone (312) 440-3810
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
Interoperability endpoints
- dalkhaled657186@direct.ochin.org
- dana.al-khaled.1@21117.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1760499545
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1548062318
-
dba Erie Waukegan Health Center
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1851712053
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Obstetrics & Gynecology Physician
- Bannockburn, IL
- NPI 1447200654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688774400000",
"number": "1760912455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E SUPERIOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112914",
"telephone_number": "312-926-2000",
"fax_number": "312-472-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-KHALED",
"first_name": "DANA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2023-07-08",
"certification_date": "2023-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "BP10060901",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125-073428",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036154057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.