SALMAN KHALEELUDDIN D.O.
NPI 1063728897
Family Medicine in Hanover Park, IL
About Salman Khaleeluddin D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALMAN KHALEELUDDIN D.O. (NPI 1063728897) is an individual family medicine provider in Hanover Park, Illinois, licensed in Illinois (336096492) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Salman Khaleeluddin D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Salman Khaleeluddin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Des Plaines, IL 60016
- Reassigned Medicare billing, Illinois enrollment
- 443 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Saint Francis Hospital
Acute Care Hospitals · Evanston, ILPresence Saints Mary And Elizabeth Medical Center
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HANOVER PARK, IL 60133
HANOVER PARK, IL 60133
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 Salman Khaleeluddin's NPI number?
The NPI number for Salman Khaleeluddin is 1063728897. It was assigned to this individual provider in the NPPES registry on August 31, 2010.
Where is Salman Khaleeluddin located?
Salman Khaleeluddin practices at 1515 E Lake St, Hanover Park, IL 60133. The listed phone number is (630) 313-5300.
What is Salman Khaleeluddin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Salman Khaleeluddin enrolled in Medicare?
Yes. Salman Khaleeluddin 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.
Which organization bills Medicare for Salman Khaleeluddin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Salman Khaleeluddin reassigns Medicare benefits to Prime Healthcare Illinois Medical Group LLC (Des Plaines, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Salman Khaleeluddin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Salman Khaleeluddin accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Salman Khaleeluddin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Salman Khaleeluddin affiliated with any hospitals?
According to CMS data, Salman Khaleeluddin is affiliated with Presence Saint Francis Hospital and Presence Saints Mary And Elizabeth Medical Center.
When was this NPI record last updated?
The NPPES record for Salman Khaleeluddin was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Salman Khaleeluddin, D.O. · NPI 1063728897
Family Medicine physician in Hanover Park, Illinois. Individual provider, active in the CMS NPPES registry since August 31, 2010.
## Identity
- **NPI:** 1063728897 (Entity type: Individual)
- **Enumerated:** August 31, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 336096492 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 E LAKE ST, Hanover Park, IL 60133-4869
- **Phone:** (630) 313-5300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prime Healthcare Illinois Medical Group LLC (NPI 1023837689, Des Plaines, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2010
## Record status
- **NPPES last updated:** May 21, 2015
- **Other identifiers:** Medicare UPIN RES000 (IL); Other 125058925 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1063728897) · Data from the CMS NPPES public registry.