Individual provider Active NPI

Khalid H Badwan, MD

  • Urology Physician
  • Palos Heights, IL
National Provider Identifier
1912923236
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036118052 Issued in IL
Practice address
11845 Southwest Hwy Unit 12
Palos Heights, IL 60463-1599
Phone
(708) 923-5422
Fax
(708) 923-5458
NPI assigned
Jul 14, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036118052 IL Primary

Addresses

Primary practice location

11845 Southwest Hwy Unit 12
Palos Heights, IL 60463-1599

Mailing address

11845 Southwest Hwy Unit 12
Palos Heights, IL 60463-1599
Phone (708) 923-5422

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
I20070716000480 IL Practitioner - Urology 1759483860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

0 S036 Church St
Winfield, IL 60190-1203

1200 S York Rd
Suite 1120
Elmhurst, IL 60126-5626
Phone (630) 527-3200

1200 S York St
Elmhurst, IL 60126-5626
Phone (331) 221-6636

12251 S 80TH Ave
Palos Heights, IL 60463-1290

2650 Ridge Ave
Evanston, IL 60201-1700

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036118052ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Nov 30, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2025 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Aug 1, 2007 Accepting new patients
Elmhurst Memorial Healthcare CurrentSince Aug 1, 2007 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Washington University Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

9532 Eagle Way
Chicago, IL 60678

1200 S York St
Ste 2000
Elmhurst, IL 60126
Phone (331) 221-9002

172 E Schiller St
Elmhurst, IL 60126
Phone (630) 782-4050

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

11845 Southwest Hwy
Unit 12
Palos Heights, IL 60463
Phone (708) 274-8700

1875 W Dempster St
Ste G04
Park Ridge, IL 60068
Phone (630) 684-9361

4201 Winfield Rd
Fl 4
Warrenville, IL 60555

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 6

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1912923236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 SOUTHWEST HWY UNIT 12",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631599",
            "telephone_number": "708-923-5422",
            "fax_number": "708-923-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11845 SOUTHWEST HWY UNIT 12",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631599",
            "telephone_number": "708-923-5422",
            "fax_number": "708-923-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADWAN",
        "first_name": "KHALID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036118052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.