SAMINA S KHAN M.D.
NPI 1376512475
Internal Medicine in Palos Heights, IL

Q: What is Samina Khan's NPI number?

The NPI number for Samina Khan is 1376512475. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Samina Khan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Samina Khan was last updated on July 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment

12632 S HARLEM AVE, PALOS HEIGHTS, IL 60463(708) 587-0000 Get Directions Write a Review

NPPES record last updated: July 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Samina S Khan M.d. NPPES

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

SAMINA S KHAN M.D. (NPI 1376512475) is an individual internal medicine provider in Palos Heights, Illinois, licensed in Illinois (036124785) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1376512475

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSAMINA S KHANCredential: M.D.

Location Address12632 S HARLEM AVEPalos Heights, IL 60463

Mailing Address354 Leonard Wood S Apt 201Highland Park, IL 60035-5933 · (781) 363-6321

Phone(708) 587-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateMarch 14, 2006

Last NPPES UpdateJuly 1, 2019

✔ NPI 1376512475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in IL · 036124785✔ Licensed in MA · 155903

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

12632 S HARLEM AVE, Palos Heights, IL 60463

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Secondary Practice Location 1

Location 1275 Sandwich StPlymouth, MA 02360-2183 · Phone (508) 746-2000 · Fax (508) 830-2502

Other Identifiers 4

Other791238MA · Tufts Health Plan

OtherJ19634MA · Bcbsma

Medicaid3177645MA

OtherAA20693MA · Harvard Pilgrim

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

Samina S Khan M.d. 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 ID4688619638

PECOS Enrollment IDI20120703000361

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.

Hospital Affiliations CMS Care Compare

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

Advocate Trinity Hospital

Acute Care Hospitals · Chicago, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140048

Location2320 E 93rd StChicago, IL 60617 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 15

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

ALLA YAKOVLEVA APN

Nurse Practitioner (Family)