Individual provider Active NPI

Sarah M Khan, D.O.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1922446186
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036139362 Issued in IL
Practice address
711 W North Ave FL 1
Chicago, IL 60610-1042
Phone
(312) 337-1982
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036139362 IL Primary

Addresses

Primary practice location

711 W North Ave FL 1
Chicago, IL 60610-1042

Mailing address

711 W North Ave FL 1
Chicago, IL 60610-1042
Phone (312) 337-1982

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
I20170425002378 IL Practitioner - Pediatric MedicinePractitioner - Family Practice 1052617362 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Presence Healthcare Services CurrentSince Oct 1, 2022 Accepting new patients
Presence Healthcare Services CurrentSince May 1, 2017 Accepting new patients
Presence Healthcare Services CurrentSince May 1, 2017 Accepting new patients
Presence Healthcare Services Past Accepting new patients

Locations

62311 Collection Ctr Dr
Chicago, IL 60693

711 W North Ave
Fl 1
Chicago, IL 60610
Phone (312) 332-1982

62311 Collections Ctr D
Chicago, IL 60693
Phone (800) 273-2614

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1922446186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-337-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W NORTH AVE FL 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101042",
            "telephone_number": "312-337-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SARAH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036139362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.