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DR. ULFAT SANAM KHAN
NPI 1124322417
Optometrist in Arlington Heights, IL

Active since January 01, 2011PECOS Enrolled
704 E RAND RD, ARLINGTON HEIGHTS, IL 60004(847) 259-3933 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ulfat Sanam Khan NPPES

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

DR. ULFAT SANAM KHAN (NPI 1124322417) is an individual optometrist in Arlington Heights, Illinois, licensed in Illinois (046-010414) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124322417
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ULFAT SANAM KHAN
Location Address704 E RAND RDArlington Heights, IL 60004-4006
Mailing Address1631 N 5th AveMelrose Park, IL 60160-2403 · (708) 369-7835
Phone(847) 259-3933
Sole ProprietorYes
Enumeration DateJanuary 1, 2011
Last NPPES UpdateJune 29, 2016
✔ NPI 1124322417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IL · 046-010414
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
704 E RAND RD, Arlington Heights, IL 60004
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Other Identifiers 1

Medicare PIN579250130IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ulfat Sanam Khan 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.

Medicare Billing Reassignment

Medicare enrollment records show Ulfat Khan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luxottica Of America Inc.
272 mi
Point of Service
4000 LUXOTTICA PL
Mason, OH 45040
  • Reassigned Medicare billing, Illinois enrollment
  • 82 clinicians in this Medicare group
NPI 1831244953 (513) 765-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60004 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 2

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

STEVE PELITSKY O.D.
Optometrist
704 E RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 259-3933
PROGRESSIVE OPTICAL, INC.
Optometrist
704 E RAND RD
ARLINGTON HEIGHTS, IL 60004
Cook County (847) 259-3933

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 Ulfat Khan's NPI number?

The NPI number for Ulfat Khan is 1124322417. It was assigned to this individual provider in the NPPES registry on January 1, 2011.

Where is Ulfat Khan located?

Ulfat Khan practices at 704 E Rand Rd, Arlington Heights, IL 60004. The listed phone number is (847) 259-3933.

What is Ulfat Khan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ulfat Khan enrolled in Medicare?

Yes. Ulfat Khan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ulfat Khan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ulfat Khan reassigns Medicare benefits to Luxottica Of America Inc. (Mason, OH). 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 Ulfat Khan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ulfat Khan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list Ulfat Khan 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.

When was this NPI record last updated?

The NPPES record for Ulfat Khan was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.