Individual provider Active NPI

Mohammed Amir Khan, M.D.

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1881034403
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-139604 Issued in IL
Practice address
3775 N Mulford Rd
Rockford, IL 61114-5632
Phone
(779) 696-9202
NPI assigned
Jun 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-139604 IL
Family Medicine Physician 207Q00000X 036-139604 IL Primary

Addresses

Primary practice location

3775 N Mulford Rd
Rockford, IL 61114-5632

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150

Other practice location 1

2473 McFarland Rd
Rockford, IL 61107
Phone (779) 696-9202

Other identifiers 1

IdentifierTypeStateIssuer
036139604MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mamirkhan912234@direct.uwhealth.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160610001388 IL Practitioner - Emergency MedicinePractitioner - Family Practice 8224260567 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

3775 N Mulford Rd
Sa Immediate Care
Rockford, IL 61114-5632
Phone (779) 696-9202

Hospital & facility affiliations

  • Uw Health Hospital, Rockford, IL, CCN 140228

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as group
Quality
83.2
Promoting interoperability
77
Improvement activities
40
Cost
71.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-139604ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Swedishamerican Hospital CurrentSince Jun 1, 2016 Accepting new patients
Swedishamerican Hospital Family Medicine Current Accepting new patients
Swedishamerican Hospital CurrentSince Jun 1, 2016 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 19, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 3, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince May 17, 2021 Accepting new patients
Dupage Medical Group LTD CurrentSince May 17, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 19, 2017 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

7736 Solution Ctr
Chicago, IL 60677

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

808 Rickert Dr
Naperville, IL 60540
Phone (630) 322-8300

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

2222 E State St
Ste 209
Rockford, IL 61104
Phone (815) 988-8500

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2473 McFarland Rd
Rockford, IL 61107
Phone (779) 696-0020

3775 N Mulford Rd
Rockford, IL 61114
Phone (779) 696-8400

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

2000 McDonald Rd
South Elgin, IL 60177
Phone (224) 783-5000

Interoperability endpoints

  • Direct secure messaging: mamirkhan17612@uihealth.direct-ci.com
  • Direct secure messaging: mamirkhan912234@direct.uwhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1881034403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78866",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532788866",
            "telephone_number": "779-696-7150",
            "fax_number": "779-696-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145632",
            "telephone_number": "779-696-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2473 McFarland Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "61107",
            "country_code": "US",
            "telephone_number": "779-696-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIR KHAN",
        "first_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-139604",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-139604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036139604",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mamirkhan912234@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "2473 McFarland Rd",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.