Individual provider Active NPI

Zubair Ali Khan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Evanston, IL
National Provider Identifier
1780050195
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005751 Issued in IL
Practice address
2500 Ridge Ave Ste 110
Evanston, IL 60201
Phone
(847) 475-9030
NPI assigned
Aug 19, 2015
Last updated
Jul 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005751 IL Primary

Addresses

Primary practice location

2500 Ridge Ave Ste 110
Evanston, IL 60201

Mailing address

2500 Ridge Ave Ste 110
Evanston, IL 60201-2468

Other practice location 1

25 E Washington St Ste 1615
Chicago, IL 60602-1882
Phone (312) 236-3507

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816002449 IL Practitioner - Podiatry 8022367556 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6999 Redansa Dr
Suite 5a
Rockford, IL 61108-1201
Phone (815) 229-1008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue840
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005751ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Wound Center, LTD CurrentSince Sep 1, 2022 Accepting new patients
Footsteps of Illinois, PLLC Foot & Ankle Surgery CurrentSince Jan 17, 2023 Accepting new patients
KND Development 59, LLC CurrentSince Feb 16, 2019 Accepting new patients
Evanston Podiatric Surgeons PC Foot & Ankle Surgery CurrentSince Jul 16, 2018 Accepting new patients
MD @ Home Illinois, SC CurrentSince Jan 14, 2021 Accepting new patients
Preferred Podiatry Group PC CurrentSince May 20, 2022 Accepting new patients
Mag Mile Foot & Ankle Institute LLC Foot & Ankle Surgery CurrentSince Jul 16, 2018 Accepting new patients
KND Development 59, LLC CurrentSince Feb 16, 2019 Accepting new patients
KND Development 59 LLC Current Accepting new patients

Locations

168 N Clinton St
Fl 3
Chicago, IL 60661
Phone (201) 856-0224

2003 W Fulton St
Ste 303
Chicago, IL 60612
Phone (312) 243-2223

25 E Washington St
Ste 1615
Chicago, IL 60602
Phone (312) 236-3507

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

2500 Ridge Ave
Ste 11
Evanston, IL 60201

2500 Ridge Ave
Ste 110
Evanston, IL 60201
Phone (847) 328-6440

1201 N Alton St
Lebanon, IL 62254
Phone (618) 537-4401

6999 Redansa Dr
Ste 5A
Rockford, IL 61108
Phone (815) 229-1008

9631 Gross Point Rd
Ste 107
Skokie, IL 60076
Phone (224) 534-7167

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: zkhan@evanstonpodiatric.mdlogic.direct-ci.com
  • Direct secure messaging: zkhan@magmile.mdlogic.direct-ci.com
  • Direct secure messaging: zubair.khan.1@3342.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530662400000",
    "number": "1780050195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 110",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE STE 110",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-475-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St Ste 1615",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021882",
            "country_code": "US",
            "telephone_number": "312-236-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ZUBAIR",
        "middle_name": "ALI",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.