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JACQUELINE ALEXANDRIA KHORASANEE M.D.
NPI 1003044892
Emergency Medicine in Chicago, IL

Active since June 30, 2009PECOS Enrolled
645 N MICHIGAN AVE, SUITE 1058A, CHICAGO, IL 60611(312) 503-4756 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Alexandria Khorasanee M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ALEXANDRIA KHORASANEE M.D. (NPI 1003044892) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125056134) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003044892
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJACQUELINE ALEXANDRIA KHORASANEECredential: M.D.
Location Address645 N MICHIGAN AVE, SUITE 1058AChicago, IL 60611-2826
Mailing Address259 E Erie St, Suite 100Chicago, IL 60611-2930 · (312) 926-9512
Phone(312) 503-4756
Sole ProprietorYes
Enumeration DateJune 30, 2009
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1003044892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 125056134
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
645 N MICHIGAN AVE, Chicago, IL 60611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Alexandria Khorasanee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIE VADBONCOEUR M.D.
Student in an Organized Health Care Education/Training Program
645 N MICHIGAN AVE, SUITE 440
CHICAGO, IL 60611
Cook County (312) 908-8152
ERICA TAYABAN
Nurse Practitioner (Family)
645 N MICHIGAN AVE, SUITE 530
CHICAGO, IL 60611
Cook County (312) 695-7970
BRIDGET TARRANT PT
Physical Therapist
645 N MICHIGAN AVE, SUITE 410
CHICAGO, IL 60611
Cook County (312) 274-0197
PETER ZELDOW PHD
Psychologist
645 N MICHIGAN AVE, SUITE 822
CHICAGO, IL 60611
Cook County (312) 618-9680
DR. CLAUDIA A HAWKINS M.D, M.P.H
Internal Medicine (Infectious Disease)
645 N MICHIGAN AVE, SUITE 900
CHICAGO, IL 60611
Cook County (312) 695-5090
NEUROPSYCHOLOGICAL ASSOCIATES INC.
Psychologist (Clinical)
645 N MICHIGAN AVE, SUITE 410
CHICAGO, IL 60611
Cook County (312) 202-0755
NORTHWESTERN MEMORIAL HOSPITAL
General Acute Care Hospital
645 N MICHIGAN AVE, SUITE 440
CHICAGO, IL 60611
Cook County (312) 908-8152
LINDA L. MICHAELS, PSYD, MBA, PLLC
Psychologist (Clinical)
645 N MICHIGAN AVE, STE 803
CHICAGO, IL 60611
Cook County (312) 612-0444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Khorasanee's NPI number?

The NPI number for Jacqueline Khorasanee is 1003044892. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Jacqueline Khorasanee located?

Jacqueline Khorasanee practices at 645 N Michigan Ave Suite 1058A, Chicago, IL 60611. The listed phone number is (312) 503-4756.

What is Jacqueline Khorasanee's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacqueline Khorasanee enrolled in Medicare?

Yes. Jacqueline Khorasanee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Khorasanee was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.