ADIBA KHAN
NPI 1053842039
Family Medicine in Grayslake, IL

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1475 E BELVIDERE RD, SUITE 385, GRAYSLAKE, IL 60030(847) 535-7157(312) 694-0655 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2021, Apr 15, 2018, Mar 24, 2017 (3 updates tracked since 2017).

About Adiba Khan NPPES

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

ADIBA KHAN (NPI 1053842039) is an individual family medicine provider in Grayslake, Illinois, licensed in Illinois (036151630) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053842039
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameADIBA KHAN
Location Address1475 E BELVIDERE RD, SUITE 385Grayslake, IL 60030-2012
Mailing Address1475 E Belvidere Rd, Suite 385Grayslake, IL 60030-2012
Fax(312) 694-0655
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 22, 2017
Last NPPES UpdateJanuary 26, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2021
NPI 1053842039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036151630
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1475 E BELVIDERE RD, Grayslake, IL 60030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Adiba Khan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830434729
PECOS Enrollment IDI20200818004102
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services88 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
97 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
88 services81 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
63 services63 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60030 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$185.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Pediatrics
1475 E BELVIDERE RD, SUITE 315
GRAYSLAKE, IL 60030
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Family Medicine
1475 E BELVIDERE RD, SUITE 312
GRAYSLAKE, IL 60030
Physical Therapist
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Pediatrics
1475 E BELVIDERE RD, SUITE 315
GRAYSLAKE, IL 60030
Internal Medicine (Hematology & Oncology)
1475 E BELVIDERE RD
GRAYSLAKE, IL 60030
Internal Medicine (Pulmonary Disease)
1475 E BELVIDERE RD, SUITE 301
GRAYSLAKE, IL 60030

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 Adiba Khan's NPI number?

The NPI number for Adiba Khan is 1053842039. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Adiba Khan located?

Adiba Khan practices at 1475 E Belvidere Rd Suite 385, Grayslake, IL 60030. The listed phone number is (847) 535-7157.

What is Adiba Khan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adiba Khan enrolled in Medicare?

Yes. Adiba Khan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Adiba Khan affiliated with any hospitals?

According to CMS data, Adiba Khan is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Adiba Khan was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.