KHALED MANASRAH RSA
NPI 1114577038
Physician Assistant - Surgical in Schaumburg, IL

Active since September 12, 2019
904 JEFFERY CT, SCHAUMBURG, IL 60193(224) 288-8847 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 9, 2021, Sep 12, 2019 (2 updates tracked since 2019).

About Khaled Manasrah Rsa NPPES

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

KHALED MANASRAH RSA (NPI 1114577038) is an individual surgical provider in Schaumburg, Illinois, licensed in Illinois (238.000648) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1114577038
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKHALED MANASRAHCredential: RSA
Location Address904 JEFFERY CTSchaumburg, IL 60193-1332
Mailing Address904 Jeffery CtSchaumburg, IL 60193-1332 · (224) 288-8847
Sole ProprietorNo
Enumeration DateSeptember 12, 2019
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
NPI 1114577038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 238.000648
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 238.000648 (IL)
904 JEFFERY CT, Schaumburg, IL 60193

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 Khaled Manasrah's NPI number?

The NPI number for Khaled Manasrah is 1114577038. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Khaled Manasrah located?

Khaled Manasrah practices at 904 Jeffery Ct, Schaumburg, IL 60193. The listed phone number is (224) 288-8847.

What is Khaled Manasrah's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Khaled Manasrah was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.