Active NPI
Saad Khan, NP
- Family Nurse Practitioner
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.014350
- Practice address
- 2331 W Chicago Ave
Chicago, IL 60622-4723 - Phone
- (630) 935-8836
- NPI assigned
- Jul 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.014350 | IL | Primary |
Addresses
Primary practice location
2331 W Chicago Ave
Chicago, IL 60622-4723
Mailing address
2331 W Chicago Ave
Chicago, IL 60622-4723
Phone (630) 935-8836
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: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171206003026 | IL | Practitioner - Nurse Practitioner | 8820355480 | Reassigns benefits to 4 organizations |
| I20230524000903 | IL | Practitioner - Certified Clinical Nurse Specialist (CNS) | 8820355480 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Behavioral Healthcare Providers LTD
Practice addresses (Care Compare)
1375 E Schaumburg Rd
Suite 230
Schaumburg, IL 60194-3658
1375 E Schaumburg Rd
Suite 240
Schaumburg, IL 60194-3643
Phone (847) 895-4540
2200 S Main St
Suite 214
Lombard, IL 60148-5365
Phone (847) 999-3226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.014350 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immediate Care Plus LTD. | Current | Accepting new patients | |
| Southwest Medical Group LTD | Current | Accepting new patients | |
| Faminamed Healthcare Providers SC | Past | Accepting new patients |
Locations
888 E Main St
East Dundee, IL 60118
Phone (847) 426-0600
Interoperability endpoints
- behavioralhealthcareproviders.saadkhan@147503.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Morton Grove, IL
- NPI 1831337401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467590400000",
"number": "1831541796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224723",
"telephone_number": "630-935-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2331 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606224723",
"telephone_number": "630-935-8836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "SAAD",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-04",
"last_updated": "2016-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.014350",
"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 4, 2016; 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.