NPIMap

Individual provider Active NPI

Ahmir Hafeez Khan, M.D. PH.D.

  • Neurology Physician
  • Lake Barrington, IL
National Provider Identifier
1851575039
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
036-123580 Issued in IL
Practice address
22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Phone
(847) 882-6604
Fax
(847) 882-6228
NPI assigned
Dec 24, 2007
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 036-123580 IL Primary

Addresses

Primary practice location

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538

Mailing address

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2538
Phone (847) 882-6604

Other identifiers 1

IdentifierTypeStateIssuer
036-123580MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akhan234565@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090812000517 IL Practitioner - Neurology 8729132675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Iowa, RJ & L Carver College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Neurology, LTDGroup PAC ID 8729069158, 30 clinicians

Practice addresses (Care Compare)

22285 N Pepper Rd
Suite 401
Lake Barrington, IL 60010-2542
Phone 84788266042191

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-123580ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurology, LTD Neurology CurrentSince Jul 19, 2010 Accepting new patients
Clear Cognition PLLC Past Accepting new patients

Locations

22285 N Pepper Rd
Ste 401
Lake Barrington, IL 60010
Phone (847) 882-6604

3701 Algonquin Rd
Ste 800
Rolling Meadows, IL 60008
Phone (847) 786-5366

Organizations & group practices 2

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 8

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1851575039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD",
            "address_2": "SUITE 401",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102538",
            "telephone_number": "847-882-6604",
            "fax_number": "847-882-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 N PEPPER RD",
            "address_2": "SUITE 401",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102538",
            "telephone_number": "847-882-6604",
            "fax_number": "847-882-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AHMIR",
        "middle_name": "HAFEEZ",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036-123580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-123580",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akhan234565@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22285 N Pepper Rd",
            "address_2": "Suite 401",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "22285 N Pepper Rd",
            "address_2": "Suite 401",
            "city": "Lake Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600102538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

Verify at the official NPI Registry.