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KHLWD ABDELHAFEZ HASSAN KHTAB
NPI 1467186908
Internal Medicine in Chicago, IL

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
2900 N LAKE SHORE DR, CHICAGO, IL 60657(773) 665-3017 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Jul 11, 2022 (2 updates tracked since 2022).

About Khlwd Abdelhafez Hassan Khtab NPPES

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

KHLWD ABDELHAFEZ HASSAN KHTAB (NPI 1467186908) is an individual internal medicine provider in Chicago, Illinois, licensed in Illinois (036176061) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467186908
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKHLWD ABDELHAFEZ HASSAN KHTAB
Location Address2900 N LAKE SHORE DRChicago, IL 60657-5640
Mailing Address2900 N Lake Shore DrChicago, IL 60657-5640
Phone(773) 665-3017
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2022
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1467186908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036176061
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.
2900 N LAKE SHORE DR, Chicago, IL 60657
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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

Khlwd Abdelhafez Hassan Khtab 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 ID3274039144
PECOS Enrollment IDI20250930002346
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 60657 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 20

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

MAX JESUS BUSTILLO OROZCO MD
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
ROBERTA LUSKIN-HAWK MD
Internal Medicine (Infectious Disease)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3261
DR. SANDRA SOLOMON M.D.
Pain Medicine (Interventional Pain Medicine)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
DR. ILANA SCHIFFMAN M.D.
Family Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
NEAL FRANCIS DAVIS-RUPERTO AUD
Audiologist
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3184
SHADI JAFARIAN RD, LDN
Dietitian, Registered
2900 N LAKE SHORE DR, CLINICAL NUTRITION SERVICES
CHICAGO, IL 60657
Cook County (773) 665-3306
AHSANA ANJUM ISLAM DPM
Student in an Organized Health Care Education/Training Program
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-3000
DR. YANIRA LAGOS ESCOTO MD
Internal Medicine
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Cook County (773) 665-6730

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 Khlwd Khtab's NPI number?

The NPI number for Khlwd Khtab is 1467186908. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Khlwd Khtab located?

Khlwd Khtab practices at 2900 N Lake Shore Dr, Chicago, IL 60657. The listed phone number is (773) 665-3017.

What is Khlwd Khtab's specialty?

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

Is Khlwd Khtab enrolled in Medicare?

Yes. Khlwd Khtab 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.

When was this NPI record last updated?

The NPPES record for Khlwd Khtab was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.