Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIDRAH KHAN
NPI 1467179085
Emergency Medicine in Maywood, IL

Active since October 25, 2022PECOS Enrolled
2160 S 1ST AVE BLDG 105, MAYWOOD, IL 60153(708) 327-2561 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 14, 2026, Mar 30, 2023, Oct 25, 2022 (3 updates tracked since 2022).

About Sidrah Khan NPPES

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

SIDRAH KHAN (NPI 1467179085) is an individual emergency medicine provider in Maywood, Illinois, licensed in Illinois (125.082908) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467179085
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSIDRAH KHAN
Location Address2160 S 1ST AVE BLDG 105Maywood, IL 60153-3328
Mailing Address2160 S 1st Ave Bldg 105Maywood, IL 60153-3328 · (708) 327-2561
Sole ProprietorNo
Enumeration DateOctober 25, 2022
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1467179085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IL · 125.082908 Licensed in GA · 111263
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2160 S 1ST AVE BLDG 105, Maywood, IL 60153

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sidrah 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
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 9

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

Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Surgery
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Surgery
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Internal Medicine
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Surgery
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Anesthesiology
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE BLDG 105
MAYWOOD, IL 60153

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 Sidrah Khan's NPI number?

The NPI number for Sidrah Khan is 1467179085. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Sidrah Khan located?

Sidrah Khan practices at 2160 S 1st Ave Bldg 105, Maywood, IL 60153. The listed phone number is (708) 327-2561.

What is Sidrah Khan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sidrah Khan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sidrah Khan was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.