Fahmida Khatoon, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085003418 Issued in IL

Practice address

2734 W 87TH St
Chicago, IL 60652-3937

Phone

(773) 918-4700

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Gi Partners of Illinois, PLLC

  • Gastroenterology Physician
  • Libertyville, IL
  • NPI 1548613995
  Medicare reassignment
• Mihir Majmundar MDSC

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1982173381
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507334400000",
    "number": "1891938619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533754",
            "telephone_number": "708-488-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2734 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523937",
            "telephone_number": "773-918-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATOON",
        "first_name": "FAHMIDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2017-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085003418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nermean Khatib, PHARMD
• Aava Khatiwada, MD
• Aliza Khatiwada, MD
• Aafreen Khatoon
• Asma Q Khatoon, M.D.
• Firasath Khatoon
• Sumalatha Khatroth
• Ehtasham Gul Khattak, MD
• Neera Khattar, MD
• Smitha Khattar, M.D.

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.