Active NPI
Zain Khazi, M.D.
- Diagnostic Radiology Physician
- Rockford, IL
National Provider Identifier
1770100224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036175540
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-7000
- NPI assigned
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2020019363 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 2021023806 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 036175540 | IL | Primary |
Addresses
Primary practice location
8201 E Riverside Blvd
Rockford, IL 61114-2300
Mailing address
3333 Warrenville Rd Ste 200
Lisle, IL 60532-1999
Other practice location 1
1 Hospital Drive
Columbia, MO 65212
Phone (573) 882-7901
Other practice location 2
1620 W Harrison St
Chicago, IL 60612-3801
Phone (312) 942-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020019363 | Other | MO | MO BOARD OF HEALING ARTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200702000700 | MO | Order and Referring Only - General Surgery | 8527481977 | |
| I20220329001417 | MO | Order and Referring Only - Diagnostic Radiology | 8527481977 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036175540 | IL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1770100224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 WARRENVILLE RD STE 200",
"city": "LISLE",
"state": "IL",
"postal_code": "605321999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611142300",
"telephone_number": "815-971-7000"
}
],
"practiceLocations": [
{
"address_1": "1 Hospital Drive",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "65212",
"country_code": "US",
"telephone_number": "573-882-7901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1620 W Harrison St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123801",
"country_code": "US",
"telephone_number": "312-942-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAZI",
"first_name": "ZAIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-01",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2020019363",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2021023806",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036175540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BOARD OF HEALING ARTS",
"identifier": "2020019363",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.