Active NPI
Mohammed Amir Khan, M.D.
- Family Medicine Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-139604
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036139604 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160610001388 | IL | Practitioner - Emergency Medicine | 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
Practice addresses (Care Compare)
3775 N Mulford Rd
Sa Immediate Care
Rockford, IL 61114-5632
Phone (779) 696-9202
Hospital & facility affiliations
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-139604 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Emergency Medicine | Current | 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 | Current | Accepting new patients | |
| Swedishamerican Hospital | Family Medicine | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | 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 |
| 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
- mamirkhan17612@uihealth.direct-ci.com
- 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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
Emergency Medicine, IL
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
IL
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
Emergency Medicine
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Hematology & Oncology Physician
- Rockford, IL
- NPI 1730511379
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1669493466
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.