Individual provider Active NPI

Ramla Farooq Khan, MD

  • Family Medicine Physician
  • Westmont, IL
National Provider Identifier
1922529254
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-151856 Issued in IL
Practice address
801 N Cass Ave Ste 300
Westmont, IL 60559-1193
Phone
(630) 963-4570
Fax
(630) 963-6239
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125071393 IL
Family Medicine Physician 207Q00000X 01083939A IN
Family Medicine Physician 207Q00000X 036-151856 IL Primary

Addresses

Primary practice location

801 N Cass Ave Ste 300
Westmont, IL 60559-1193

Mailing address

PO Box 713260
Chicago, IL 60677-8708
Phone (630) 469-9200

Other practice location 1

7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone (773) 947-7500

Other practice location 2

336 W US Highway 30 Ste A&b
Valparaiso, IN 46385-5345
Phone (219) 464-7430

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ramla.khan.1@2340.direct.athenahealth.com
Direct Messaging Address rkhan270833@dulyhealthandcare.direct-ci.com Direct

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
I20240703000807 IL Practitioner - Family Practice 3375968829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

801 N Cass Ave
Westmont, IL 60559-1162
Phone (630) 963-4570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125071393ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jul 29, 2024 Accepting new patients
Dupage Medical Group LTD CurrentSince Jul 29, 2024 Accepting new patients

Locations

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

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

908 N Elm St
Ste 103
Hinsdale, IL 60521
Phone (630) 286-5060

801 N Cass Ave
Ste 300
Westmont, IL 60559
Phone (630) 628-8889

801 N Cass Ave
Westmont, IL 60559
Phone (630) 456-7455

Interoperability endpoints

  • Direct secure messaging: rkhan270833@dulyhealthandcare.direct-ci.com

Organizations & group practices 2

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.

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1922529254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606778708",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE STE 300",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591193",
            "telephone_number": "630-963-4570",
            "fax_number": "630-963-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7531 S Stony Island Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606493954",
            "country_code": "US",
            "telephone_number": "773-947-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 W US Highway 30 Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463855345",
            "country_code": "US",
            "telephone_number": "219-464-7430",
            "fax_number": "219-464-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "RAMLA",
        "middle_name": "FAROOQ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125071393",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01083939A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-151856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ramla.khan.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "336 W US Highway 30 Ste A&b",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463855345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkhan270833@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "801 N Cass Ave Ste 300",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

Verify at the official NPI Registry.