Individual provider Active NPI

Anjum Khan, MD

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1851413173
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.125683 Issued in IL
Practice address
5425 W Belmont Ave
Chicago, IL 60641-4127
Phone
(312) 702-1313
NPI assigned
Apr 6, 2007
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT188105 PA
Physical Medicine & Rehabilitation Physician 208100000X 125.052236 IL
Physical Medicine & Rehabilitation Physician 208100000X 4301502986 MI
Physical Medicine & Rehabilitation Physician 208100000X 036.125683 IL Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301502986 MI

Addresses

Primary practice location

5425 W Belmont Ave
Chicago, IL 60641-4127

Mailing address

1236 McDaniels Ave
Highland Park, IL 60035-3645
Phone (312) 813-6593

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL northstarrehabpain@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101203001159 IL Practitioner - Physical Medicine and Rehabilitation 3779770680 Reassigns benefits to 4 organizations
I20201006000175 MI Practitioner - Physical Medicine and Rehabilitation 3779770680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

131 E Park Ave
Suite 103
Libertyville, IL 60048-2858
Phone (847) 393-6246

3501 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546-5938
Phone (616) 729-7290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT188105PAMDInternal Medicine Physician
036.125683ILMDPhysical Medicine & Rehabilitation Physician
125.052236ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Rehab Pain Clinics PLLC Physical Medicine & Rehabilitation CurrentSince May 27, 2022 Accepting new patients
Michigan Sports and Spine Center PC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2020 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2013 Accepting new patients
Northstar Rehab Pain Clinics PLLC Physical Medicine & Rehabilitation Current Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Dec 1, 2013 Accepting new patients
Advanced Pain & Back Institute, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Integrative Rehabmedicine SC CurrentSince Jul 14, 2024 Accepting new patients
Ramin Rahimi D.O. PastSince Nov 1, 2021 Accepting new patients

Locations

165 S Bloomingdale Rd
Bloomingdale, IL 60108
Phone (630) 980-2001

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

5425 W Belmont Ave
Chicago, IL 60641
Phone (312) 702-1313

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

131 E Park Ave
Ste 103
Libertyville, IL 60048
Phone (847) 327-1434

1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

345 Executive Pkwy
Ste M4
Rockford, IL 61107
Phone (815) 399-1141

4225 Kirchoff Rd
Rolling Meadows, IL 60008
Phone (847) 376-8969

9700 Gross Point Rd
Skokie, IL 60076
Phone (847) 674-7210

9028 N Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 729-7290

3501 Lake Eastbrook Blvd SE
Grand Rapids, MI 49546
Phone (248) 657-4223

3501 Lake Eastbrook Blvd SE
Ste 258
Grand Rapids, MI 49546
Phone (616) 315-0282

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

23600 Northline Rd
Taylor, MI 48180
Phone (734) 287-2840

1819 E Big Beaver Rd
Ste 210
Troy, MI 48083
Phone (248) 680-9000

Organizations & group practices 8

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1851413173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 MCDANIELS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353645",
            "telephone_number": "312-813-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414127",
            "telephone_number": "312-702-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "ANJUM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT188105",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "125.052236",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301502986",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.125683",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301502986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "northstarrehabpain@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "3501 Lake Eastbrook Blvd SE Ste 258",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495465941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.