JACQUELINE ALEXANDRIA KHORASANEE M.D. NPI 1003044892

Emergency Medicine in Chicago, IL

NPI 1003044892 Individual Female Emergency Medicine PECOS Enrolled

About JACQUELINE KHORASANEE

Jacqueline Khorasanee is a provider established in Chicago, Illinois and her medical specialization is emergency medicine. The NPI number of Jacqueline Khorasanee is 1003044892 and was assigned on June 2009. The practitioner's primary taxonomy code is 207P00000X with license number 125056134 (IL). The provider is registered as an individual and her NPI record was last updated November 2021.

Jacqueline Khorasanee is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Jacqueline Khorasanee is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003044892

Provider Name JACQUELINE ALEXANDRIA KHORASANEE M.D.
Provider Location Address645 N MICHIGAN AVE SUITE 1058A CHICAGO, IL 60611
Provider Mailing Address259 E ERIE ST SUITE 100 CHICAGO, IL 60611
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date06-30-2009
Last Update Date11-03-2021


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.125056134
License StateIL
Taxonomy DescriptionAn 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.

Business Address

JACQUELINE ALEXANDRIA KHORASANEE M.D.
645 N MICHIGAN AVE
SUITE 1058A
CHICAGO, IL
ZIP 60611
Phone: (312) 503-4756

Get Directions


Mailing Address

JACQUELINE ALEXANDRIA KHORASANEE M.D.
259 E ERIE ST
SUITE 100
CHICAGO, IL
ZIP 60611
Phone: (312) 926-9512



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285620492 TIMOTHY C. HAIN MD
Individual
Psychiatry & Neurology (Neurology)645 N MICHIGAN AVE SUITE 410
CHICAGO, IL 60611
(312) 274-0197
1306861091 SUSAN E COHN MD
Individual
Internal Medicine (Infectious Disease)645 N MICHIGAN AVE SUITE 900
CHICAGO, IL 60611
(312) 926-3693
1548278674 CHAD ACHENBACH MD
Individual
Internal Medicine (Infectious Disease)645 N MICHIGAN AVE SUITE 900
CHICAGO, IL 60611
(312) 695-5090
1376643650DR. MARTHA ELLEN ZUEHLKE MD
Individual
Psychiatry & Neurology (Psychiatry)645 N MICHIGAN AVE SUITE 820
CHICAGO, IL 60611
(312) 988-7880
1578634994DR. ROBERT E HANLON PH.D.
Individual
Clinical Neuropsychologist645 N MICHIGAN AVE SUITE 410
CHICAGO, IL 60611
(312) 202-0755
1144365610 PETER ZELDOW PHD
Individual
Psychologist645 N MICHIGAN AVE SUITE 822
CHICAGO, IL 60611
(312) 618-9680
1184753915DR. DONALD LEE BENNETT D.D.S.
Individual
Dentist (General Practice)645 N MICHIGAN AVE 550
CHICAGO, IL 60611
(312) 642-5253
1316159445MS. BARBARA J SCHAEFER APN
Individual
Registered Nurse (Medical-Surgical)645 N MICHIGAN AVE SUITE 530
CHICAGO, IL 60611
(312) 908-5566
1477767796ROSIN OPTICAL CO., INC.
Organization
Durable Medical Equipment & Medical Supplies645 N MICHIGAN AVE SUITE 210
CHICAGO, IL 60611
(312) 787-2020
1598973042 CHARLOTTE MARY NIZNIK APN
Individual
Clinical Nurse Specialist (Women's Health)645 N MICHIGAN AVE
CHICAGO, IL 60611
(312) 503-4715
1750587549DR. CLAUDIU CATALIN DUMITRESCU PSY.D.
Individual
Clinical Neuropsychologist645 N MICHIGAN AVE SUITE 410
CHICAGO, IL 60611
(312) 202-0755
1992905426TIMOTHY C HAIN, MD, PC
Organization
Otolaryngology (Otology & Neurotology)645 N MICHIGAN AVE SUITE 410
CHICAGO, IL 60611
(312) 274-0197
1407046758DR. ANKUR GARG M.D.
Individual
Radiology (Diagnostic Radiology)645 N MICHIGAN AVE SUITE 1058-A
CHICAGO, IL 60611
(312) 503-7975
1366621393DR. MARCELLO CHERCHI M.D., PH.D.
Individual
Psychiatry & Neurology (Neurology)645 N MICHIGAN AVE SUITE 410
CHICAGO, IL 60611
(312) 274-0197
1982879441DR. AMISHA WALLIA MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)645 N MICHIGAN AVE SUITE 530
CHICAGO, IL 60611
(312) 695-7970
1942462742DR. EGON ANDERSON OZER M.D.
Individual
Internal Medicine (Infectious Disease)645 N MICHIGAN AVE SUITE 1058-A
CHICAGO, IL 60611
(312) 503-4536
1194989491 WENYU HUANG M.D., PH.D.
Individual
Internal Medicine645 N MICHIGAN AVE SUITE 1058-A
CHICAGO, IL 60611
(312) 503-7975
1902062276DR. SANJA DRAGOVIC MD
Individual
Ophthalmology645 N MICHIGAN AVE SUITE 440
CHICAGO, IL 60611
(312) 503-3649
1265689202NORTHWESTERN MEMORIAL HOSPITAL
Organization
General Acute Care Hospital645 N MICHIGAN AVE SUITE 440
CHICAGO, IL 60611
(312) 908-8152
1437387446DR. NICHOLAS D HARTMAN M.D., M.P.H.
Individual
Emergency Medicine645 N MICHIGAN AVE SUITE 1058 A
CHICAGO, IL 60611
(312) 926-9512

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.