Mohammad Raza Khan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036118940 Issued in IL

Practice address

30 Revere Dr
South Barrington, IL 60010-9584

Phone

(513) 885-0052

NPI assigned

Feb 8, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellness Center Health Associates

  • Medical Specialty Clinic/Center
  • Hamilton, OH
  • NPI 1649480880
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1801937545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 REVERE DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109584",
            "telephone_number": "138-850-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 REVERE DR",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109584",
            "telephone_number": "513-885-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MOHAMMAD",
        "middle_name": "RAZA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036118940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05623778",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JNZ Medical LLC
• Brittany Amber Johns, OTR/L
• Ewa Jurczak, OTD, OTR/L
• Mary Gloria Kane, MD
• Amber Kazi, M.D.
• Sakib S Khan, MD
• Khursheed Ahmed, MD, S.C.
• Skyler R Kociuba, EDS
• Prafulla K Koneru, M.D
• Brett Tyler Kramer, CPO

• Internal Medicine Physician in South Barrington, IL
• Providers in South Barrington, 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 May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.